Mariam Nematalla Antonios, DO - Medicare Family Practice in Lawrenceville, GA

Mariam Nematalla Antonios, DO is a medicare enrolled "Family Medicine" physician in Lawrenceville, Georgia. She went to Rowan University School Of Osteopathic Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Gwinnett Hospital System Gme, Llc and her current practice location is 665 Duluth Hwy Ste 501, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 312-0400.

Mariam Nematalla Antonios is licensed to practice in Georgia (license number 86461) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164885901.

Contact Information

Mariam Nematalla Antonios, DO
665 Duluth Hwy Ste 501,
Lawrenceville, GA 30046-8709
(678) 312-0400
Not Available



Physician's Profile

Full NameMariam Nematalla Antonios
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location665 Duluth Hwy Ste 501, Lawrenceville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mariam Nematalla Antonios attended and graduated from Rowan University School Of Osteopathic Medicine in 2016
  NPI Data:
  • NPI Number: 1164885901
  • Provider Enumeration Date: 03/30/2016
  • Last Update Date: 09/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1254751274
  • Enrollment ID: I20201013002562

Medical Identifiers

Medical identifiers for Mariam Nematalla Antonios such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164885901NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 00000 (Georgia)Secondary
207Q00000XFamily Medicine 86461 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gwinnett Hospital System Gme, Llc064850489424

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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. Mariam Nematalla Antonios allows following entities to bill medicare on her behalf.
Entity NameGwinnett Hospital System Gme, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780076927
PECOS PAC ID: 0648504894
Enrollment ID: O20190622000303

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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. Mariam Nematalla Antonios 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
Mariam Nematalla Antonios, DO
665 Duluth Hwy Ste 501,
Lawrenceville, GA 30046-8709

Ph: (678) 312-0400
Mariam Nematalla Antonios, DO
665 Duluth Hwy Ste 501,
Lawrenceville, GA 30046-8709

Ph: (678) 312-0400

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Family Medicine Doctors in Lawrenceville, GA

Kelsea Leverett,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 908 Arbor Crowne Dr, Lawrenceville, GA 30045
Phone: 404-713-3985    
Dr. Carolyn Barnwell Petrey, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 696 Grayson Hwy, Family Practice Clinic Pc, Lawrenceville, GA 30046
Phone: 770-963-0927    Fax: 770-963-9772
Sheila Kennedy, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1430 Five Forks Trickum Rd St 220, Lawrenceville, GA 30044
Phone: 678-578-4983    Fax: 678-578-4988
Dr. Sana Rabbi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 455 Philip Blvd Ste 130, Kaiser Permanente Lawrenceville Medical Office, Lawrenceville, GA 30046
Phone: 678-985-5000    
Dr. Eda Moonhi Kim, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 N Brown Rd, Lawrenceville, GA 30043
Phone: 678-710-6872    
Dr. Michael Curtis Cranford, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 665 Duluth Hwy Ste 401, Lawrenceville, GA 30046
Phone: 678-312-0400    
Dr. Thenmozhi Singaram, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 455 Philip Blvd Ste 130, Kaiser Permanente Lawrenceville Medical Center, Lawrenceville, GA 30046
Phone: 678-985-5000    

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