Dr Ali Mortazavi, DO - Medicare Orthopedic Surgery in Austell, GA

Dr Ali Mortazavi, DO is a medicare enrolled "Orthopaedic Surgery" physician in Austell, Georgia. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 1998 and has 26 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Resurgens, Llc and his current practice location is 2041 Mesa Valley Way, Suite 100, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 944-1100.

Dr Ali Mortazavi is licensed to practice in Georgia (license number 054865) 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 1609863802.

Contact Information

Dr Ali Mortazavi, DO
2041 Mesa Valley Way, Suite 100,
Austell, GA 30106-8157
(770) 944-1100
(770) 944-6469



Physician's Profile

Full NameDr Ali Mortazavi
GenderMale
SpecialityOrthopedic Surgery
Experience26 Years
Location2041 Mesa Valley Way, Austell, 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:
  • Dr Ali Mortazavi attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 1998
  NPI Data:
  • NPI Number: 1609863802
  • Provider Enumeration Date: 10/03/2005
  • Last Update Date: 10/24/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9032180963
  • Enrollment ID: I20040804000785

Medical Identifiers

Medical identifiers for Dr Ali Mortazavi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609863802NPI-NPPES
234083867BMedicaidGA
234083867EMedicaidGA
234083867CMedicaidGA
234083867AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 054865 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Cobb HospitalAustell, GAHospital
Wellstar Douglas HospitalDouglasville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Resurgens, Llc1153224142155

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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. Dr Ali Mortazavi allows following entities to bill medicare on his behalf.
Entity NameResurgens, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386697928
PECOS PAC ID: 1153224142
Enrollment ID: O20040128000595

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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. Dr Ali Mortazavi 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
Dr Ali Mortazavi, DO
2041 Mesa Valley Way, Suite 100,
Austell, GA 30106-8157

Ph: (770) 944-1100
Dr Ali Mortazavi, DO
2041 Mesa Valley Way, Suite 100,
Austell, GA 30106-8157

Ph: (770) 944-1100

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Orthopaedic Surgery Doctors in Austell, GA

Richard Allen Boe Jr., MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2041 Mesa Valley Way Ste 100, Austell, GA 30106
Phone: 770-944-1100    
Dr. Keith A. Lamberson, M.D
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3672 Marathon Cir, Suite 200, Austell, GA 30106
Phone: 770-944-3303    Fax: 770-944-0285
Dr. D Hodari Brooks, M.D
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1700 Hospital South Dr Ste 502, Austell, GA 30106
Phone: 943-202-7070    Fax: 470-986-7020
Dr. Rafael V. Urrutia Jr., M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2041 Mesa Valley Way, Suite 100, Austell, GA 30106
Phone: 770-944-1100    Fax: 770-944-6469
Sudhir Rama Belagaje, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3672 Marathon Cir, Suite 200, Austell, GA 30106
Phone: 770-944-3303    Fax: 770-944-0285
Neil Jay Negrin, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3875 Austell Rd., Ste 201, Austell, GA 30106
Phone: 770-819-1777    Fax: 770-819-1730
Dr. Scott G. Kleiman, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2041 Mesa Valley Way, Suite 100, Austell, GA 30106
Phone: 770-944-1100    Fax: 770-944-6469

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