Roosevelt Allen, MD - Medicare Urology in Lawrenceville, GA

Roosevelt Allen, MD is a medicare enrolled "Urology" physician in Lawrenceville, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Urology. He is a member of the group practice Georgia Urology, Pa, Urological Professional Services, Llc and his current practice location is 500 Medical Center Blvd, Suite 220, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 963-2451.

Roosevelt Allen is licensed to practice in Georgia (license number 036083) 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 1326050485.

Contact Information

Roosevelt Allen, MD
500 Medical Center Blvd, Suite 220,
Lawrenceville, GA 30046
(770) 963-2451
(770) 962-0017



Physician's Profile

Full NameRoosevelt Allen
GenderMale
SpecialityUrology
Experience37 Years
Location500 Medical Center Blvd, Lawrenceville, 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:
  • Roosevelt Allen attended and graduated from Medical College Of Georgia School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1326050485
  • Provider Enumeration Date: 08/13/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486727419
  • Enrollment ID: I20101215000022

Medical Identifiers

Medical identifiers for Roosevelt Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326050485NPI-NPPES
340015405OtherGARAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 036083 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside HospitalAtlanta, GAHospital
Northside Hospital GwinnettLawrenceville, GAHospital
Eastside Medical CenterSnellville, GAHospital
Piedmont Walton HospitalMonroe, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Georgia Urology, Pa892109437671
Urological Professional Services, Llc963839171756

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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. Roosevelt Allen allows following entities to bill medicare on his behalf.
Entity NameGeorgia Urology, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245250646
PECOS PAC ID: 8921094376
Enrollment ID: O20040422000123

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Entity NameUrological Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033521810
PECOS PAC ID: 9638391717
Enrollment ID: O20141104002579

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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. Roosevelt Allen 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
Roosevelt Allen, MD
1930 Brannan Rd,
Mcdonough, GA 30253-4310

Ph: (678) 284-4040
Roosevelt Allen, MD
500 Medical Center Blvd, Suite 220,
Lawrenceville, GA 30046

Ph: (770) 963-2451

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Urology Doctors in Lawrenceville, GA

Dr. Christopher Joon Ki Kim, MD, PHARMD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 850 Lawrenceville Suwanee Rd Ste 101, Lawrenceville, GA 30043
Phone: 770-963-2451    
Edward Stark, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 500 Medical Center Blvd, Suite 220, Lawrenceville, GA 30046
Phone: 770-963-2451    Fax: 770-962-0017
Dr. Jin Soon Yeoh, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 631 Professional Dr Ste 490, Lawrenceville, GA 30046
Phone: 770-995-0424    Fax: 770-513-7334
Mukesh R Patel, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 501 Crownpointe Way, Lawrenceville, GA 30046
Phone: 678-344-8900    Fax: 678-666-5201
Dr. Kanika Searvance, MD
Urology
Medicare: May Accept Medicare Assignments
Practice Location: 500 Medical Center Blvd Ste 345, Lawrenceville, GA 30046
Phone: 770-963-2451    
David Zhang Qi, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 501 Crownpointe Way, Lawrenceville, GA 30046
Phone: 678-344-8900    Fax: 678-666-5201

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