Lee Brian Brandt Jr, PA - Medicare Physician Assistant in Acworth, GA

Lee Brian Brandt Jr, PA is a medicare enrolled "Physician Assistant - Medical" in Acworth, Georgia. His current practice location is 4900 Ivey Rd Nw, Suite 1826, Acworth, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 975-9077.

Lee Brian Brandt Jr is licensed to practice in Georgia (license number 003438) 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 1609840511.

Contact Information

Lee Brian Brandt Jr, PA
4900 Ivey Rd Nw, Suite 1826,
Acworth, GA 30101-4001
(770) 975-9077
(770) 790-4964



Provider's Profile

Full NameLee Brian Brandt Jr
GenderMale
SpecialityPhysician Assistant - Medical
Location4900 Ivey Rd Nw, Acworth, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609840511
  • Provider Enumeration Date: 02/15/2006
  • Last Update Date: 04/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7315960721
  • Enrollment ID: I20060112000046

Medical Identifiers

Medical identifiers for Lee Brian Brandt Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609840511NPI-NPPES
100000704EMedicaidGA
100000704CMedicaidGA
100000704DMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 003438 (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. Lee Brian Brandt Jr 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
Lee Brian Brandt Jr, PA
5665 New Northside Dr, Suite 320,
Atlanta, GA 30328-5831

Ph: (404) 645-7564
Lee Brian Brandt Jr, PA
4900 Ivey Rd Nw, Suite 1826,
Acworth, GA 30101-4001

Ph: (770) 975-9077

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› Verified 2 days ago


Physician Assistant Nurses in Acworth, GA

Mr. Bobby Joel Treadwell Jr., PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4550 Cobb Parkway North Nw, Suite 309b, Acworth, GA 30101
Phone: 770-917-6795    Fax: 770-529-9077
Ms. Rhonda Kay Herring, CSA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2537 Cedarcrest Rd Ste 305-14, Acworth, GA 30101
Phone: 470-336-8190    Fax: 770-336-6620
Tatiana Cardaniuc,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3540 Cobb Pkwy Nw, Acworth, GA 30101
Phone: 770-974-3911    
Mr. Nathanael Shane Hornsby, CSFA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2537 Cedarcrest Rd Ste 305-14, Acworth, GA 30101
Phone: 470-336-8190    Fax: 770-336-6620
Halli E Selman, CSFA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2537 Cedarcrest Rd Ste 305-14, Acworth, GA 30101
Phone: 470-336-8190    Fax: 770-336-6620
Stephanie Gallimore, CSFA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2537 Cedarcrest Rd Ste 305-63, Acworth, GA 30101
Phone: 762-500-3552    
Ashleigh Schinina, CSFA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2537 Cedarcrest Rd Ste 305-14, Acworth, GA 30101
Phone: 470-336-8190    Fax: 770-336-6620

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