Kelly Degraffenreid Organ, MD - Medicare Family Practice in Jonesboro, GA

Kelly Degraffenreid Organ, MD is a medicare enrolled "Family Medicine" physician in Jonesboro, Georgia. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 2400 Mount Zion Parkway, Family Practice Health Care Team A, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 603-3649.

Kelly Degraffenreid Organ is licensed to practice in Georgia (license number 043031) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023186251.

Contact Information

Kelly Degraffenreid Organ, MD
2400 Mount Zion Parkway, Family Practice Health Care Team A,
Jonesboro, GA 30236
(770) 603-3649
Not Available



Physician's Profile

Full NameKelly Degraffenreid Organ
GenderFemale
SpecialityFamily Practice
Experience29 Years
Location2400 Mount Zion Parkway, Jonesboro, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Degraffenreid Organ attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1995
  NPI Data:
  • NPI Number: 1023186251
  • Provider Enumeration Date: 12/04/2006
  • Last Update Date: 04/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6800849985
  • Enrollment ID: I20050301000559

Medical Identifiers

Medical identifiers for Kelly Degraffenreid Organ such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023186251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 043031 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013576

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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. Kelly Degraffenreid Organ allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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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. Kelly Degraffenreid Organ 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
Kelly Degraffenreid Organ, MD
3495 Piedmont Road Ne, Nine Piedmont Center,
Atlanta, GA 30305

Ph: (404) 364-7000
Kelly Degraffenreid Organ, MD
2400 Mount Zion Parkway, Family Practice Health Care Team A,
Jonesboro, GA 30236

Ph: (770) 603-3649

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Family Medicine Doctors in Jonesboro, GA

Lynette G Hall, CNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Mount Zion Parkway, Department Of After Hours, Jonesboro, GA 30236
Phone: 770-603-3649    
Boyede Franklin Ademodi, M.D
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Mount Zion Pkwy, Department Of Internal Medicine, Jonesboro, GA 30236
Phone: 770-603-3667    
Dr. Belkis Pimentel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Office, Jonesboro, GA 30236
Phone: 770-603-3632    
Mr. Matthieu Laliberte, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236
Phone: 770-603-3577    
Sonu Mody Patel, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236
Phone: 404-365-0966    
Philip Lee Carroll, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236
Phone: 770-603-3577    

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