- Medicare in Dallas, GA

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is a medicare enrolled "Physician Assistant" provider in Dallas, Georgia. Their current practice location is 243 Merchants Drive, Dallas, Georgia. You can reach out to their office (for appointments etc.) via phone at (770) 445-1362.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1609096213.

Contact Information

243 Merchants Drive,
Dallas, GA 30132
(770) 445-1362
(770) 445-5860

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPhysician Assistant
Location243 Merchants Drive, Dallas, Georgia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609096213
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 05/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9032161864
  • Enrollment ID: O20050221000074

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609096213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor CHIR005181 (Georgia)Secondary
111N00000XChiropractor (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJeff L Selano
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1780708461
PECOS PAC ID: 6204888035
Enrollment ID: I20111213000231
Provider NameSteve Odeh
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1801940200
PECOS PAC ID: 8820078553
Enrollment ID: I20160425001794
Provider NameTammie Small Mccallie
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1265556948
PECOS PAC ID: 1456695410
Enrollment ID: I20181130002673
Provider NameCatherine Wallace
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1154946606
PECOS PAC ID: 1557786282
Enrollment ID: I20230228001205

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. 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

Po Box 419,
Dallas, GA 30132-0008

Ph: (770) 445-1362
243 Merchants Drive,
Dallas, GA 30132

Ph: (770) 445-1362

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.