Althea Hill Mcphail, MD - Medicare Pathology in Lawrenceville, GA

Althea Hill Mcphail, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Lawrenceville, Georgia. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Gwinnett Pathology Assoc Pc, Southern Gastroenterology Associates, Llc and her current practice location is 1000 Medical Center Blvd, Department Of Pathology, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (800) 346-1811.

Althea Hill Mcphail is licensed to practice in Georgia (license number 037296) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508826215.

Contact Information

Althea Hill Mcphail, MD
1000 Medical Center Blvd, Department Of Pathology,
Lawrenceville, GA 30046-7694
(800) 346-1811
(706) 378-8864

Map and Direction




Physician's Profile

Full NameAlthea Hill Mcphail
GenderFemale
SpecialityPathology
Experience37 Years
Location1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Althea Hill Mcphail attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1508826215
  • Provider Enumeration Date: 03/25/2006
  • Last Update Date: 08/31/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2163587635
  • Enrollment ID: I20090217000277

Medical Identifiers

Medical identifiers for Althea Hill Mcphail such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508826215NPI-NPPES
00558181BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0101XPathology - Anatomic Pathology 037296 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gwinnett Pathology Assoc Pc69018877696
Southern Gastroenterology Associates, Llc88200840648

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. Althea Hill Mcphail allows following entities to bill medicare on her behalf.
Entity NameSouthern Gastroenterology Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205886504
PECOS PAC ID: 8820084064
Enrollment ID: O20040422000946
Entity NameGwinnett Pathology Assoc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104887330
PECOS PAC ID: 6901887769
Enrollment ID: O20040527000148

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. Althea Hill Mcphail 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
Althea Hill Mcphail, MD
Po Box 1686,
Indianapolis, IN 46206-1686

Ph: (800) 346-1181
Althea Hill Mcphail, MD
1000 Medical Center Blvd, Department Of Pathology,
Lawrenceville, GA 30046-7694

Ph: (800) 346-1811

Reviews and Comments


Pathology Doctors in Lawrenceville, GA

Stephen Alan Dayan, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 830 Johns Landing Way, Lawrenceville, GA 30045
Phone: 770-696-5254    
Robert James Siegel, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Department Of Pathology, Lawrenceville, GA 30046
Phone: 678-442-4321    
Punam Bhanot, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045
Phone: 678-442-4321    Fax: 770-682-2242
Kelly Marie Adkins, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Medical Center Blvd, Department Of Pathology, Lawrenceville, GA 30046
Phone: 678-312-4526    
Bonnie Yvonne Watkins, PA
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 678-312-4526    Fax: 770-682-2219
Daria Diana Murawski,
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 678-312-4526    
Ricardo J Delgado, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Medical Center Blvd, Department Of Pathology, Lawrenceville, GA 30046
Phone: 678-442-4321    

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.