Gina Lanelle Hurt, DMD is a medicare enrolled "Dentist" provider in Marrieta, Georgia. Her current practice location is
Suite125-e 1000johnson Ferry Road, Suite125-e, Marrieta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 579-0802.
Gina Lanelle Hurt is licensed to practice in Georgia (license number 011336) 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 1144395765.
Healthcare Provider's Profile
Full Name | Gina Lanelle Hurt |
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Gender | Female |
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Speciality | Dentist |
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Location | Suite125-e 1000johnson Ferry Road, Marrieta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144395765
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 08/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 4789985938
- Enrollment ID: I20151214001123
Medical Identifiers
Medical identifiers for Gina Lanelle Hurt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144395765 | NPI | - | NPPES |
011336 | Other | GA | LICENSE |
582625375 | Other | GA | TAX ID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 011336 (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. Gina Lanelle Hurt 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 |
Gina Lanelle Hurt, DMD Suite125-e 1000johnson Ferry Road, Marrieta, GA 30068 Ph: (770) 579-0802 | Gina Lanelle Hurt, DMD Suite125-e 1000johnson Ferry Road, Suite125-e, Marrieta, GA 30068 Ph: (770) 579-0802 |
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