Khaldoon J Al-moosawi, MD - Medicare Family Practice in Suwanee, GA

Khaldoon J Al-moosawi, MD is a medicare enrolled "Family Medicine - Sleep Medicine" physician in Suwanee, Georgia. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southland Consolidated Emergency Services Llc and his current practice location is 4245 Johns Creek Pkwy, Suite A, Suwanee, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 990-3962.

Khaldoon J Al-moosawi is licensed to practice in Georgia (license number 069749) 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 1578849444.

Contact Information

Khaldoon J Al-moosawi, MD
4245 Johns Creek Pkwy, Suite A,
Suwanee, GA 30024-9122
(678) 990-3962
(678) 840-3777



Physician's Profile

Full NameKhaldoon J Al-moosawi
GenderMale
SpecialityFamily Practice
Experience24 Years
Location4245 Johns Creek Pkwy, Suwanee, 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:
  • Khaldoon J Al-moosawi graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1578849444
  • Provider Enumeration Date: 10/24/2011
  • Last Update Date: 11/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5991932089
  • Enrollment ID: I20140623000648

Medical Identifiers

Medical identifiers for Khaldoon J Al-moosawi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578849444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 005364 (Georgia)Secondary
207QS1201XFamily Medicine - Sleep Medicine 2015-00835 (North Carolina)Secondary
207QS1201XFamily Medicine - Sleep Medicine 69749 (Georgia)Secondary
390200000XStudent In An Organized Health Care Education/training Program 2015-00835 (North Carolina)Secondary
207Q00000XFamily Medicine 069749 (Georgia)Secondary
207QS1201XFamily Medicine - Sleep Medicine 069749 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elbert Memorial HospitalElberton, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southland Consolidated Emergency Services Llc286079206637

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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. Khaldoon J Al-moosawi allows following entities to bill medicare on his behalf.
Entity NameGeorgia Emergency Department Services, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508886912
PECOS PAC ID: 5597751032
Enrollment ID: O20040517001016

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Entity NameSouthland Consolidated Emergency Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174917124
PECOS PAC ID: 2860792066
Enrollment ID: O20151119001289

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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. Khaldoon J Al-moosawi 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
Khaldoon J Al-moosawi, MD
4245 Johns Creek Pkwy, Suite A,
Suwanee, GA 30024-9122

Ph: (678) 990-3962
Khaldoon J Al-moosawi, MD
4245 Johns Creek Pkwy, Suite A,
Suwanee, GA 30024-9122

Ph: (678) 990-3962

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Family Medicine Doctors in Suwanee, GA

Avril Patrice Daisley Shongo, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3312 Heathchase Ln, Address Line 2, Suwanee, GA 30024
Phone: 678-783-4860    
Dr. Westly Adrian Bailey, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3890 Johns Creek Pkwy, Ste 230, Suwanee, GA 30024
Phone: 770-623-1331    Fax: 770-623-5674
Usha Musunuru, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4485 Tench Rd, Ste120, Suwanee, GA 30024
Phone: 770-932-7605    Fax: 770-932-7608
Benjamin Morrison,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3925 Johns Creek Ct Ste A, Suwanee, GA 30024
Phone: 770-709-6922    Fax: 770-709-6910
Dr. Scott Dee Griffith, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4310 Johns Creek Pkwy, Ste 100, Suwanee, GA 30024
Phone: 678-234-2332    
Khushbuben Patel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024
Phone: 770-442-1911    
Sujatha Lingatlu, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3135 Mathis Airport Pkwy, Ste. 200, Suwanee, GA 30024
Phone: 770-886-7711    Fax: 770-886-7698

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