Elena Dolmatova, - Medicare Internal Medicine in Duluth, GA

Elena Dolmatova, is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Duluth, Georgia. Her current practice location is 3650 Steve Reynolds Blvd, Duluth, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 365-0966.

Elena Dolmatova is licensed to practice in Georgia (license number 94031) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285029561.

Contact Information

Elena Dolmatova,
3650 Steve Reynolds Blvd,
Duluth, GA 30096-4506
(404) 365-0966
Not Available



Physician's Profile

Full NameElena Dolmatova
GenderFemale
SpecialityInternal Medicine - Cardiovascular Disease
Location3650 Steve Reynolds Blvd, Duluth, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285029561
  • Provider Enumeration Date: 04/02/2015
  • Last Update Date: 06/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395096465
  • Enrollment ID: I20240311000414

Medical Identifiers

Medical identifiers for Elena Dolmatova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285029561NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 94031 (Georgia)Primary

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. Elena Dolmatova allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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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. Elena Dolmatova 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
Elena Dolmatova,
3650 Steve Reynolds Blvd,
Duluth, GA 30096-4506

Ph: () -
Elena Dolmatova,
3650 Steve Reynolds Blvd,
Duluth, GA 30096-4506

Ph: (404) 365-0966

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Internal Medicine Doctors in Duluth, GA

Dr. Yeohan Song, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3500 Mcclure Bridge Rd, Duluth, GA 30096
Phone: 770-476-3636    Fax: 770-476-5845
Dr. Aneesh Gupta, M.D.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 1012 Sugarloaf Reserve Dr, Duluth, GA 30097
Phone: 912-713-2378    
Martin C Ettinger, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 3650 Steve Reynolds Blvd, Internal Medicine Health Care Team C, Duluth, GA 30096
Phone: 770-931-6012    
Nasima Ali, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 3060 Creek Falls Way, Duluth, GA 30097
Phone: 404-789-9416    
Dr. Lewin Go Chuachiaco, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3650 Steve Reynolds Blvd, Dept Of Int Med Hctc Kaiser Permanente Medical Center A, Duluth, GA 30096
Phone: 770-931-6210    Fax: 770-931-6015
Dr. Richard Reid Maxa, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3505 Duluth Park Ln, Building 4, Ste 400, Duluth, GA 30096
Phone: 678-597-3180    Fax: 678-597-3181
Wendy Lin Warren, APRN NP-C
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 4181 Pleasant Hill Rd Ste 150, Duluth, GA 30096
Phone: 470-292-3820    

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