Mr Jacob Lyndon Beltz, MD - Medicare Radiology in Augusta, GA

Mr Jacob Lyndon Beltz, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Augusta, Georgia. His current practice location is 1120 15th St, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-8623.

Mr Jacob Lyndon Beltz is licensed to practice in Georgia (license number 90876) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609200633.

Contact Information

Mr Jacob Lyndon Beltz, MD
1120 15th St,
Augusta, GA 30912-6220
(706) 721-8623
Not Available



Physician's Profile

Full NameMr Jacob Lyndon Beltz
GenderMale
SpecialityRadiology - Vascular & Interventional Radiology
Location1120 15th St, Augusta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609200633
  • Provider Enumeration Date: 08/27/2013
  • Last Update Date: 03/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406120740
  • Enrollment ID: I20230314003258

Medical Identifiers

Medical identifiers for Mr Jacob Lyndon Beltz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609200633NPI-NPPES
90876OtherGAGEORGIA MEDICAL COMPOSITE BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 90876 (Georgia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 90876 (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. Mr Jacob Lyndon Beltz allows following entities to bill medicare on his behalf.
Entity NameAu Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188

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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. Mr Jacob Lyndon Beltz 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
Mr Jacob Lyndon Beltz, MD
1120 15th St # Or6000,
Augusta, GA 30912-0004

Ph: () -
Mr Jacob Lyndon Beltz, MD
1120 15th St,
Augusta, GA 30912-6220

Ph: (706) 721-8623

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› Verified 7 days ago


Radiology Doctors in Augusta, GA

Michael A Winkler, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-8623    
Jagadishwar Devkota, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 20 Winged Foot Dr, Augusta, GA 30907
Phone: 706-414-8235    Fax: 706-364-2606
Paul N. Karmin, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-9729    Fax: 706-721-8507
Juhi Bansal,
Radiology
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-2273    
Dr. William Bruce Tannehill, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 630 13th St, Suite 250, Augusta, GA 30901
Phone: 706-724-2500    Fax: 706-823-5928
Dr. Kandace Rhea Klein, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Ba-1411, Augusta, GA 30912
Phone: 706-721-3233    
Dr. Corey Garvin, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 352-286-9383    

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