Dr John David Vickery Iv, MD - Medicare Allergy/immunology in Newnan, GA

Dr John David Vickery Iv, MD is a medicare enrolled "Allergy & Immunology" physician in Newnan, Georgia. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Center For Allergy And Asthma Of Georgia Pc and his current practice location is 37 Calumet Pkwy, Building F, Suite 201, Newnan, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 683-4050.

Dr John David Vickery Iv is licensed to practice in Georgia (license number 67624) 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 1336364793.

Contact Information

Dr John David Vickery Iv, MD
37 Calumet Pkwy, Building F, Suite 201,
Newnan, GA 30263-6734
(770) 683-4050
Not Available



Physician's Profile

Full NameDr John David Vickery Iv
GenderMale
SpecialityAllergy/immunology
Experience14 Years
Location37 Calumet Pkwy, Newnan, 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:
  • Dr John David Vickery Iv attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2010
  NPI Data:
  • NPI Number: 1336364793
  • Provider Enumeration Date: 04/13/2007
  • Last Update Date: 05/20/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2062558109
  • Enrollment ID: I20120605000512

Medical Identifiers

Medical identifiers for Dr John David Vickery Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336364793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 44948 (Tennessee)Secondary
207K00000XAllergy & Immunology 44948 (Tennessee)Secondary
207K00000XAllergy & Immunology 67624 (Georgia)Primary
207R00000XInternal Medicine 67624 (Georgia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Center For Allergy And Asthma Of Georgia Pc206246078510

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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. Dr John David Vickery Iv allows following entities to bill medicare on his behalf.
Entity NameCenter For Allergy & Asthma Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578504536
PECOS PAC ID: 2062460785
Enrollment ID: O20050110000793

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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. Dr John David Vickery Iv 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
Dr John David Vickery Iv, MD
690 Dallas Hwy, Suite 101,
Villa Rica, GA 30180-1264

Ph: (770) 459-0620
Dr John David Vickery Iv, MD
37 Calumet Pkwy, Building F, Suite 201,
Newnan, GA 30263-6734

Ph: (770) 683-4050

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Allergy & Immunology Doctors in Newnan, GA


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