Mrs Jada R Olderman, MD - Medicare Pediatrics in Duluth, GA

Mrs Jada R Olderman, MD is a medicare enrolled "Pediatrics" physician in Duluth, Georgia. Her current practice location is 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 931-6010.

Mrs Jada R Olderman is licensed to practice in Georgia (license number 066159) 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 1417134545.

Contact Information

Mrs Jada R Olderman, MD
3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center,
Duluth, GA 30096-4506
(770) 931-6010
Not Available



Physician's Profile

Full NameMrs Jada R Olderman
GenderFemale
SpecialityPediatrics
Location3650 Steve Reynolds Blvd, Duluth, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417134545
  • Provider Enumeration Date: 01/31/2008
  • Last Update Date: 01/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274790548
  • Enrollment ID: I20120130000579

Medical Identifiers

Medical identifiers for Mrs Jada R Olderman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417134545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 002727 (Georgia)Secondary
208000000XPediatrics 066159 (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. Mrs Jada R Olderman 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. Mrs Jada R Olderman 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
Mrs Jada R Olderman, MD
3495 Piedmont Rd Ne, Nine Piedmont Center,
Atlanta, GA 30305-1717

Ph: (404) 364-7070
Mrs Jada R Olderman, MD
3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center,
Duluth, GA 30096-4506

Ph: (770) 931-6010

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Pediatrics Doctors in Duluth, GA

Linda H Remlinger, CNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3650 Steve Reynolds Blvd, Pediatrics Health Care Team A, Duluth, GA 30096
Phone: 770-931-6012    
Dr. Aparna V Peethambaram, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1815 Satellite Blvd, #501, Duluth, GA 30097
Phone: 678-496-2600    Fax: 888-226-8819
Kimberly N Hodge-spears, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3625 Savannah Pl Ste 101a-b, Duluth, GA 30096
Phone: 770-707-4018    Fax: 770-785-4488
Dr. Yejin Kim, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3435 Duluth Park Ln, Suite A, Duluth, GA 30096
Phone: 678-417-0407    Fax: 678-417-2008
Scott G Pugel, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3650 Steve Reynolds Blvd, Pediatrics Health Care Team A, Duluth, GA 30096
Phone: 770-931-6012    
Dr. Farida Kwaji, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2660 Satellite Blvd, Duluth, GA 30096
Phone: 404-785-8330    
Andrew B Adam, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3650 Steve Reynolds Blvd, Pediatrics Health Care Team A, Duluth, GA 30096
Phone: 770-931-6010    Fax: 770-931-6005

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