Jacqueline Smith, in Decatur, GA - Medicare Physician Assistant

Jacqueline Smith, is a medicare enrolled "Physician Assistant" in Decatur, Georgia. Her current practice location is 2701 N Decatur Rd, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 501-1000.

Jacqueline Smith is licensed to practice in Georgia (license number 8598) 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 1336667385.

Contact Information

	Jacqueline Smith,
	2701 N Decatur Rd, Decatur, GA 30033-5918
	(404) 501-1000
	Not Available

Provider's Profile

Full Name	Jacqueline Smith
Gender	Female
Speciality	Physician Assistant
Location	2701 N Decatur Rd, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336667385
Provider Enumeration Date: 08/30/2017
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2062770464
Enrollment ID: I20171212002141

Medical Identifiers

Medical identifiers for Jacqueline Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336667385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	8598 (Georgia)	Primary

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. Jacqueline Smith 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 Address	Practice Location Address
Jacqueline Smith, 2260 Rockwell Dr, Buford, GA 30519-6440 Ph: () -	Jacqueline Smith, 2701 N Decatur Rd, Decatur, GA 30033-5918 Ph: (404) 501-1000

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Physician Assistant Nurses in Decatur, GA

Mr. Ronald Gene Sanders Ii, RONALD SANDERS Physician Assistant Medicare: Medicare Enrolled Practice Location: 4325 Old Lake Dr, Decatur, GA 30034 Phone: 770-843-0929
Ms. Carol T Mcclendon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111
Rhea V Douglas, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1951 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-4600 Fax: 404-320-0987
Allyson Ashton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000
Mrs. Daviea Antoinette Taylor-hicks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 250 N Arcadia Ave, Decatur, GA 30030 Phone: 404-321-6111 Fax: 404-417-2903
Amanda Singh, M.P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2675 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-1678
Theresa Ann Johnson, PHD, MSHSA, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-417-1525

Jacqueline Smith, - Medicare Physician Assistant in Decatur, GA