Mr Mustapha Timmy Issa, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dacula, Georgia. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Musc Community Physicians, Mak Anesthesia Holdings, Llc, Mak Anesthesia Georgia, Llc and 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1497227797.
Provider's Profile
| Full Name | Mr Mustapha Timmy Issa |
|---|
| Gender | Male |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 8 Years |
|---|
| Location | 470 Dacula Rd Unit 145, Dacula, Georgia |
|---|
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for 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: 07/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911247820
- Enrollment ID: I20220118000728
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Musc Community Physicians | 6507260668 | 1322 |
| Mak Anesthesia Holdings, Llc | 4284917204 | 205 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 107 |
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 Name | Prisma Health-midlands |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1205889458
PECOS PAC ID: 6800708330
Enrollment ID: O20031110000506 |
|---|
| Entity Name | Musc Community Physicians |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388 |
|---|
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 |
Reviews and Comments