Charles Daniel Procter Sr, MD in Gainesville, GA

Charles Daniel Procter Sr, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Gainesville, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice The Longstreet Clinic, Pc, Cardiothoracic And Vascular Surgical Associates Pa and his current practice location is 725 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (786) 207-4000.

Charles Daniel Procter Sr is licensed to practice in Georgia (license number 035736) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457369258.

Contact Information

	Charles Daniel Procter Sr, MD
	725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834
	(786) 207-4000
	(770) 531-2435

Map and Direction

Physician's Profile

Full Name	Charles Daniel Procter Sr
Gender	Male
Speciality	Vascular Surgery
Experience	46 Years
Location	725 Jesse Jewell Pkwy Se, Gainesville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Daniel Procter Sr attended and graduated from Medical College Of Georgia School Of Medicine in 1978

NPI Data:

NPI Number: 1457369258
Provider Enumeration Date: 08/04/2006
Last Update Date: 04/28/2023

Medicare PECOS Information:

PECOS PAC ID: 3870537285
Enrollment ID: I20100616000551

Medical Identifiers

Medical identifiers for Charles Daniel Procter Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457369258	NPI	-	NPPES
000502873K	Medicaid	GA
000502873M	Medicaid	GA
000502873I	Medicaid	GA
000502873J	Medicaid	GA
000502873S	Medicaid	GA
592947	Other	GA	BCBS
000502873R	Medicaid	GA
000502873T	Medicaid	GA
01338970	Other	GA	AMERIGROUP
1708262	Other	GA	WELLCARE
544229	Other	GA	WELLCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	035736 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Longstreet Clinic, Pc	2668465733	145
Cardiothoracic And Vascular Surgical Associates Pa	5395725188	83

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. Charles Daniel Procter Sr allows following entities to bill medicare on his behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

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. Charles Daniel Procter Sr 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
Charles Daniel Procter Sr, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122	Charles Daniel Procter Sr, MD 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (786) 207-4000

Reviews and Comments

Surgery Doctors in Gainesville, GA

Dr. Thomas Gregory Delong, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1387 Springdale Rd, Gainesville, GA 30501 Phone: 770-534-0984
Courtney L Grant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435
Phillip Patrick Rideout, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000
Alexis Deana Smith, MD Surgery Medicare: Medicare Enrolled Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 301, Gainesville, GA 30501 Phone: 770-219-9234
Derek Paul Pendarvis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947
Julius Timothy Fulenwider, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 Jesse Jewell Pkwy Ne, Ste B, Gainesville, GA 30501 Phone: 770-536-5733 Fax: 770-534-2114
James A. Butts Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947

Charles Daniel Procter Sr, MD - Medicare Vascular Surgery in Gainesville, GA