Mr Mustapha Timmy Issa, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lawrenceville, GA

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Mr Mustapha Timmy Issa, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lawrenceville, Georgia. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mak Anesthesia Holdings, Llc, Concordia Anesthesiology Inc and his current practice location is 1403 Elderberry Run Cv, Lawrenceville, 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 South Carolina (license number 24769) 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.

Contact Information

Mr Mustapha Timmy Issa, CRNA
1403 Elderberry Run Cv,
Lawrenceville, GA 30043-3999
(954) 547-9602
Not Available

Map and Direction




Provider's Profile

Full NameMr Mustapha Timmy Issa
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location1403 Elderberry Run Cv, Lawrenceville, Georgia
Accepts Medicare AssignmentsYes. 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 graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1497227797
  • Provider Enumeration Date: 12/26/2018
  • Last Update Date: 12/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7911247820
  • Enrollment ID: I20190312002470

Medical Identifiers

Medical identifiers for Mr Mustapha Timmy Issa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497227797NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 214261 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered 24769 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Cobb HospitalAustell, GAHospital
Southeastern Regional Medical CenterNewnan, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mak Anesthesia Holdings, Llc4284917204167
Concordia Anesthesiology Inc832517288562

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Mustapha Timmy Issa allows following entities to bill medicare on his behalf.
Entity NameMedical Center Anesthesiology Of Athens
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003863291
PECOS PAC ID: 1456246230
Enrollment ID: O20040219000797
Entity NameAmerican Anesthesiology Associates Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528068673
PECOS PAC ID: 7618934779
Enrollment ID: O20041210000442
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583
Entity NameConcordia Anesthesiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619296464
PECOS PAC ID: 8325172885
Enrollment ID: O20100819000220
Entity NameMak Anesthesia Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563
Entity NameMak Anesthesia Northside Affiliates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609390103
PECOS PAC ID: 7315203718
Enrollment ID: O20171116002499
Entity NameRadius Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861996225
PECOS PAC ID: 2567897127
Enrollment ID: O20200109000552
Entity NameNorth Atlanta Anesthesia Professionals, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982349296
PECOS PAC ID: 5496134348
Enrollment ID: O20220623000371

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 AddressPractice Location Address
Mr Mustapha Timmy Issa, CRNA
1403 Elderberry Run Cv,
Lawrenceville, GA 30043-3999

Ph: (954) 547-9602		Mr Mustapha Timmy Issa, CRNA
1403 Elderberry Run Cv,
Lawrenceville, GA 30043-3999

Ph: (954) 547-9602

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Lawrenceville, GA

John G Bojack, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 770-277-3056    Fax: 855-204-5244
John D Singleton, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 770-277-3056    Fax: 855-204-5244
Mr. Charles Leroy Peacock, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045
Phone: 678-442-4321    
Allison Reinecke Hodge, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 770-963-9905    
Jennifer D Del Bagno, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 770-277-3056    Fax: 855-204-5244
Elizabeth A Walker, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 770-277-3056    Fax: 855-204-5244
Peggy F Maynor, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30064
Phone: 770-277-3056    Fax: 855-204-5244

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.