Dr Tina Kim Vothang, MD - Medicare Pediatrics in Marietta, GA

Dr Tina Kim Vothang, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Marietta, Georgia. Her current practice location is 3747 Roswell Rd, Suite 201, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 956-7689.

Dr Tina Kim Vothang is licensed to practice in Georgia (license number 73875) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154687721.

Contact Information

Dr Tina Kim Vothang, MD
3747 Roswell Rd, Suite 201,
Marietta, GA 30062-6215
(470) 956-7689
Not Available



Physician's Profile

Full NameDr Tina Kim Vothang
GenderFemale
SpecialityPediatrics - Adolescent Medicine
Location3747 Roswell Rd, Marietta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154687721
  • Provider Enumeration Date: 04/08/2012
  • Last Update Date: 09/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0840590873
  • Enrollment ID: I20151124001373

Medical Identifiers

Medical identifiers for Dr Tina Kim Vothang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154687721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 73875 (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. 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 Tina Kim Vothang allows following entities to bill medicare on her 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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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 Tina Kim Vothang 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 Tina Kim Vothang, MD
3747 Roswell Rd, Suite 201,
Marietta, GA 30062-6215

Ph: (470) 956-7689
Dr Tina Kim Vothang, MD
3747 Roswell Rd, Suite 201,
Marietta, GA 30062-6215

Ph: (470) 956-7689

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Pediatrics Doctors in Marietta, GA

Mrs. Nicole A Smail, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2155 Post Oak Tritt Rd, Suite 100, Marietta, GA 30062
Phone: 770-978-4700    
Dr. Stephanie Lynette Poole, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 611 Campbell Hill St Nw Ste 103, Marietta, GA 30060
Phone: 770-499-8909    Fax: 770-499-8911
Brenda L Marino, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 677 Church St, Hospital Based Only Kennestone Wellstar, Marietta, GA 30060
Phone: 770-779-3603    Fax: 770-793-9925
Carla A Mclean-joseph, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1575 County Services Pkwy Sw, Marietta, GA 30008
Phone: 770-528-4192    Fax: 770-528-5463
Dr. Bianca Camac Bell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 677 Church St Ne, Marietta, GA 30060
Phone: 770-793-5672    
Dr. Lori Spitzer Corley, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3707 Largent Way Nw, Marietta, GA 30064
Phone: 678-581-5729    Fax: 678-581-5719
Mr. Richard Rhodes, NP-C
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2155 Post Oak Tritt Rd Ste 100, Marietta, GA 30062
Phone: 770-973-4700    

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