Mr Mustapha Timmy Issa, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dacula, Georgia. His current practice location is
470 Dacula Rd Unit 145, Dacula, Georgia. You can reach out to his office (for appointments etc.) via phone at
(954) 547-9602.
Mr Mustapha Timmy Issa is licensed to practice in Georgia (license number 214261) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497227797.
Provider's Profile
Full Name | Mr Mustapha Timmy Issa |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 470 Dacula Rd Unit 145, Dacula, Georgia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Mustapha Timmy Issa attended and graduated from in
NPI Data:
- NPI Number: 1497227797
- Provider Enumeration Date: 12/26/2018
- Last Update Date: 07/11/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Mustapha Timmy Issa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497227797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 24769 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 214261 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mustapha Timmy Issa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Mustapha Timmy Issa, CRNA 470 Dacula Rd Unit 145, Dacula, GA 30019-0102 Ph: (954) 547-9602 | Mr Mustapha Timmy Issa, CRNA 470 Dacula Rd Unit 145, Dacula, GA 30019-0102 Ph: (954) 547-9602 |
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