Dr Awan Khondoker Rahman, DO - Medicare Internal Medicine in Lagrange, GA

Dr Awan Khondoker Rahman, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Lagrange, Georgia. His current practice location is 1514 Vernon Rd, Lagrange, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 882-1411.

Dr Awan Khondoker Rahman is licensed to practice in Georgia (license number 95368) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942735758.

Contact Information

Dr Awan Khondoker Rahman, DO
1514 Vernon Rd,
Lagrange, GA 30240-4131
(706) 882-1411
Not Available



Physician's Profile

Full NameDr Awan Khondoker Rahman
GenderMale
SpecialityInternal Medicine - Pulmonary Disease
Location1514 Vernon Rd, Lagrange, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942735758
  • Provider Enumeration Date: 04/30/2017
  • Last Update Date: 09/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648543116
  • Enrollment ID: I20210819002521

Medical Identifiers

Medical identifiers for Dr Awan Khondoker Rahman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942735758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 95368 (Georgia)Primary
207R00000XInternal Medicine OT017698 (Pennsylvania)Secondary

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 Awan Khondoker Rahman allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062

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Entity NameGslpg, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366006702
PECOS PAC ID: 7810226875
Enrollment ID: O20190917001763

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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 Awan Khondoker Rahman 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 Awan Khondoker Rahman, DO
1514 Vernon Rd,
Lagrange, GA 30240-4131

Ph: (706) 882-1411
Dr Awan Khondoker Rahman, DO
1514 Vernon Rd,
Lagrange, GA 30240-4131

Ph: (706) 882-1411

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Internal Medicine Doctors in Lagrange, GA

Kenneth T Horlander, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240
Phone: 706-882-8831    Fax: 706-812-4091
Ravina V Kadam, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 300 Medical Dr Ste 704, Lagrange, GA 30240
Phone: 706-880-7361    
Syed Abuzar Waseem Ahmed,
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1602 Vernon Rd Ste 400, Lagrange, GA 30240
Phone: 706-882-9341    Fax: 706-884-0131
Mr. Melhim Bou Alwan, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1514 Vernon Rd, Lagrange, GA 30240
Phone: 706-882-1411    Fax: 706-812-2471
Dr. Ariyo Oluwole Olobatoke, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1551 Doctors Dr, Lagrange, GA 30240
Phone: 706-880-7222    Fax: 706-880-7223
Priyesh R Patel, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1514 Vernon Rd, Lagrange, GA 30240
Phone: 706-882-1411    Fax: 706-812-2471
Dr. Brad Alan Bowyer, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1551 Doctors Dr, Lagrange, GA 30240
Phone: 706-880-7311    Fax: 706-880-7360

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