Omar S Queensbourrow, PA - Medicare Physician Assistant in Atlanta, GA

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Omar S Queensbourrow, PA is a medicare enrolled "Physician Assistant - Medical" in Atlanta, Georgia. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Health Services Of Central Georgia, Wellstreet Of Georgia Pc, The Southeast Permanente Medical Group, Bristol Bay Area Health Corporation and his current practice location is 5185 Old National Hwy, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 763-9300.

Omar S Queensbourrow is licensed to practice in Georgia (license number 006678) 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 1841534591.

Contact Information

Omar S Queensbourrow, PA
5185 Old National Hwy,
Atlanta, GA 30349-3244
(404) 763-9300
(404) 763-9306

Map and Direction




Provider's Profile

Full NameOmar S Queensbourrow
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location5185 Old National Hwy, Atlanta, 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:
  • Omar S Queensbourrow graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1841534591
  • Provider Enumeration Date: 11/19/2012
  • Last Update Date: 08/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426201153
  • Enrollment ID: I20130109000266

Medical Identifiers

Medical identifiers for Omar S Queensbourrow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841534591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA 9106708 (Florida)Secondary
363AM0700XPhysician Assistant - Medical 006678 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atrium Health Navicent The Medical CenterMacon, GAHospital
Kanakanak HospitalDillingham, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Health Services Of Central Georgia9638076730300
Wellstreet Of Georgia Pc7517126279425
The Southeast Permanente Medical Group6204829013823
Bristol Bay Area Health Corporation5890699920114

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. Omar S Queensbourrow allows following entities to bill medicare on his behalf.
Entity NameHealth Services of Central Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184679482
PECOS PAC ID: 9638076730
Enrollment ID: O20031217000270
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370
Entity NameThe Medical Center of Central Georgia Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831287655
PECOS PAC ID: 3678477445
Enrollment ID: O20040812000902
Entity NamePeachtree Immediate Care FP, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049
Entity NameCoweta Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245556588
PECOS PAC ID: 5395876452
Enrollment ID: O20100706000634
Entity NameSouth Atlanta Urgent Care Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144548363
PECOS PAC ID: 4880888247
Enrollment ID: O20101029000260
Entity NameWellstreet of Georgia PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603
Entity NamePeach Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902165327
PECOS PAC ID: 2567628993
Enrollment ID: O20120730000310
Entity NameHouston County Emergency Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013338193
PECOS PAC ID: 2264663756
Enrollment ID: O20140326001461
Entity NameSwift Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811434210
PECOS PAC ID: 5698011211
Enrollment ID: O20190117003052

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. Omar S Queensbourrow 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
Omar S Queensbourrow, PA
198 Greenview Ter,
Macon, GA 31220-8755

Ph: Not Available		Omar S Queensbourrow, PA
5185 Old National Hwy,
Atlanta, GA 30349-3244

Ph: (404) 763-9300

Reviews and Comments


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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.