Dekalb Internal Medicine Associates, Pc - Medicare Primary Care in Tucker, GA

Dekalb Internal Medicine Associates, Pc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Tucker, Georgia. The current practice location for Dekalb Internal Medicine Associates, Pc is 1980 Montreal Rd, Tucker, Georgia. For appointments, you can reach them via phone at (770) 270-4060. The mailing address for Dekalb Internal Medicine Associates, Pc is 1980 Montreal Rd, Tucker, Georgia and phone number is (770) 270-4060.

Dekalb Internal Medicine Associates, Pc is licensed to practice in Georgia (license number 046623). The clinic also participates in the medicare program and its NPI number is 1255615852. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (770) 270-4060.

Contact Information

Dekalb Internal Medicine Associates, Pc
1980 Montreal Rd
Tucker
GA 30084-5217
(770) 270-4060
(770) 270-4061

Primary Care Clinic Profile

Full NameDekalb Internal Medicine Associates, Pc
SpecialityClinic/Center
Location1980 Montreal Rd, Tucker, Georgia
Authorized Official Name and PositionAli M Mohamed (CEO)
Authorized Official Contact7702704060
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dekalb Internal Medicine Associates, Pc
1980 Montreal Rd
Tucker
GA 30084-5217

Ph: (770) 270-4060
Dekalb Internal Medicine Associates, Pc
1980 Montreal Rd
Tucker
GA 30084-5217

Ph: (770) 270-4060

NPI Details:

NPI Number1255615852
Provider Enumeration Date10/01/2011
Last Update Date10/01/2011

Medicare PECOS Information:

Medicare PECOS PAC ID4880854009
Medicare Enrollment IDO20120327000171

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Medical Identifiers

Medical identifiers for Dekalb Internal Medicine Associates, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255615852NPI-NPPES
00815075BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 046623 (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. Dekalb Internal Medicine Associates, Pc acts as a billing entity for following providers:
Provider NameAli Moallin Mohamed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154448967
PECOS PAC ID: 7416117643
Enrollment ID: I20120327000198

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