Trident Medical Group Pa is a
Internal Medicine based in Atlanta, Georgia. Trident Medical Group Pa is licensed to practice in * (Not Available) (license number ) and their current practice location is
3372 Peachtree Road, Suite 115, Atlanta, Georgia. It can be reached at their office (for appointments etc.) via phone at
(855) 770-7771.
NPI number for Trident Medical Group Pa is 1699435081 and their current mailing address is 382 Ne 191st St, Pmb 75481, Miami, Florida. Trident Medical Group Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1699435081.
Healthcare Provider's Profile
| Full Name | Trident Medical Group Pa |
|---|
| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 3372 Peachtree Road, Atlanta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699435081
- Provider Enumeration Date: 12/27/2021
- Last Update Date: 11/14/2022
Medical Identifiers
Medical identifiers for Trident Medical Group Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699435081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 213EP0504X | Podiatrist - Public Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | 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. Trident Medical Group Pa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Trident Medical Group Pa
382 Ne 191st St, Pmb 75481,
Miami, FL 33179-3899
Ph: (310) 626-0149 | Trident Medical Group Pa
3372 Peachtree Road, Suite 115,
Atlanta, GA 30326
Ph: (855) 770-7771 |
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