Ketan M Patel, MD - Medicare Hospitalist in Cumming, GA

Ketan M Patel, MD is a medicare enrolled "Hospitalist" physician in Cumming, Georgia. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice North Atlanta Professional Services Llc and his current practice location is 1200 Northside Forsyth Dr, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 844-3200.

Ketan M Patel is licensed to practice in Georgia (license number 63790) 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 1326054305.

Contact Information

Ketan M Patel, MD
1200 Northside Forsyth Dr,
Cumming, GA 30041-7659
(770) 844-3200
(404) 851-6325



Physician's Profile

Full NameKetan M Patel
GenderMale
SpecialityHospitalist
Experience31 Years
Location1200 Northside Forsyth Dr, Cumming, 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:
  • Ketan M Patel graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1326054305
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 01/19/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7113827387
  • Enrollment ID: I20100831000165

Medical Identifiers

Medical identifiers for Ketan M Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326054305NPI-NPPES
286053OtherANTHEM/BCBS
473139726BMedicaidGA
1804781000OtherWVWV MEDICAID
5853745MedicaidVA
700027131OtherCIGNA
20649OtherVAOPTIMA
110219768OtherRAILROAD MEDICARE
1000870001OtherVADME PROVIDER
146213OtherSOUTHERN HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 63790 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital ForsythCumming, GAHospital
Novant Health Uva Health Haymarket Medical CenterHaymarket, VAHospital
Northside Hospital CherokeeCanton, GAHospital
Northside HospitalAtlanta, GAHospital
Novant Prince William Medical CenterManassas, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Atlanta Professional Services Llc0840291944296

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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. Ketan M Patel allows following entities to bill medicare on his behalf.
Entity NameHamilton Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528056066
PECOS PAC ID: 0446151179
Enrollment ID: O20040116000053

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Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20060419000545

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Entity NameNorth Atlanta Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316959869
PECOS PAC ID: 0840291944
Enrollment ID: O20070116000197

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Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583

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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. Ketan M Patel 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
Ketan M Patel, MD
1200 Northside Forsyth Dr,
Cumming, GA 30041-7659

Ph: (770) 844-3200
Ketan M Patel, MD
1200 Northside Forsyth Dr,
Cumming, GA 30041-7659

Ph: (770) 844-3200

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Hospitalist Doctors in Cumming, GA

Dr. Michael C. Sergeant, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041
Phone: 770-844-3200    Fax: 404-851-6325
Dr. Thomas Joseph Carollo Jr., M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041
Phone: 770-844-3200    Fax: 404-851-6325
Dr. Usha Bangalore Krishnappa, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041
Phone: 404-844-3200    Fax: 404-851-6325
Dr. Thanh Nguyen, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041
Phone: 770-844-3200    Fax: 770-844-3227

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