Dr Krunal Jethwa, MD - Medicare Family Practice in Marietta, GA

Dr Krunal Jethwa, MD is a medicare enrolled "Family Medicine" physician in Marietta, Georgia. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wellstar Medical Group, Llc and his current practice location is 4800 Olde Towne Pkwy Ste 150a, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 509-1025.

Dr Krunal Jethwa is licensed to practice in Georgia (license number 87558) 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 1457607400.

Contact Information

Dr Krunal Jethwa, MD
4800 Olde Towne Pkwy Ste 150a,
Marietta, GA 30068-4357
(770) 509-1025
(770) 509-1884



Physician's Profile

Full NameDr Krunal Jethwa
GenderMale
SpecialityFamily Practice
Experience12 Years
Location4800 Olde Towne Pkwy Ste 150a, Marietta, 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 Krunal Jethwa graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1457607400
  • Provider Enumeration Date: 07/27/2012
  • Last Update Date: 06/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719117860
  • Enrollment ID: I20210503000371

Medical Identifiers

Medical identifiers for Dr Krunal Jethwa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457607400NPI-NPPES
394013MedicaidSC
SC91676121OtherSCMEDICARE PIN
SC91675193OtherSCMEDICARE PIN
SC9167J577OtherSCMEDICARE PIN
SC91676067OtherSCMEDICARE PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 39401 (South Carolina)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 87558 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar North Fulton HospitalRoswell, GAHospital
Wellstar Kennestone HospitalMarietta, GAHospital
Wellstar Cobb HospitalAustell, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstar Medical Group, Llc67090654021839

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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 Krunal Jethwa allows following entities to bill medicare on his behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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Entity NameNorthside Urgent Care Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679962237
PECOS PAC ID: 4587984695
Enrollment ID: O20150513000795

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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 Krunal Jethwa 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 Krunal Jethwa, MD
4800 Olde Towne Pkwy Ste 150a,
Marietta, GA 30068-4357

Ph: (770) 509-1025
Dr Krunal Jethwa, MD
4800 Olde Towne Pkwy Ste 150a,
Marietta, GA 30068-4357

Ph: (770) 509-1025

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Family Medicine Doctors in Marietta, GA

Dr. Yen-i Grace Chen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Johnson Ferry Rd, Marietta, GA 30068
Phone: 770-579-7900    Fax: 770-579-7942
Neety Patel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3707 Largent Way Nw, Marietta, GA 30064
Phone: 678-581-5830    Fax: 678-581-5835
Jamin Graham, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 677 Church St Ne, Marietta, GA 30060
Phone: 770-793-5000    
Dr. Philip Batista, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Johnson Ferry Rd, Marietta, GA 30068
Phone: 770-579-7900    Fax: 770-579-7932
Dr. Harvey David Braunfeld, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 299 Pat Mell Rd Se, Marietta, GA 30060
Phone: 770-432-5500    Fax: 770-431-8363
William Edward Snell, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 880 Canton Rd Ne, Suite 300, Marietta, GA 30060
Phone: 770-590-0585    Fax: 770-428-4087
Dr. Miles Eli Brett, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2520 Windy Hill Rd Se, Suite 301, Marietta, GA 30067
Phone: 770-952-1032    Fax: 770-952-8579

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