Dr Charles B Idom Jr, MD, FACS - Medicare Urology in Dalton, GA

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Dr Charles B Idom Jr, MD, FACS is a medicare enrolled "Urology" physician in Dalton, Georgia. He went to University Of Mississippi School Of Medicine and graduated in 1994 and has 31 years of diverse experience with area of expertise as Urology. He is a member of the group practice North Georgia Urology Center, Pc, Inc and his current practice location is 1434 Broadrick Dr, Dalton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 278-5961.

Dr Charles B Idom Jr is licensed to practice in Georgia (license number 050482) 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 1316943210.

Contact Information

Dr Charles B Idom Jr, MD, FACS
1434 Broadrick Dr,
Dalton, GA 30720-3009
(706) 278-5961
(706) 275-0280

Map and Direction




Physician's Profile

Full NameDr Charles B Idom Jr
GenderMale
SpecialityUrology
Experience31 Years
Location1434 Broadrick Dr, Dalton, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Charles B Idom Jr attended and graduated from University Of Mississippi School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1316943210
  • Provider Enumeration Date: 06/24/2005
  • Last Update Date: 09/11/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6901883131
  • Enrollment ID: I20040706000559

Medical Identifiers

Medical identifiers for Dr Charles B Idom Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316943210NPI-NPPES
340019475OtherGARAILROAD MEDICARE
00931312AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 050482 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Georgia Home Health Agency, An Amedysis CompRinggold, GAHome health agency
Hamilton Home HealthDalton, GAHome health agency
Hamilton Medical CenterDalton, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Georgia Urology Center, Pc, Inc19513881806

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. Dr Charles B Idom Jr allows following entities to bill medicare on his behalf.
Entity NameNorth Georgia Urology Center, Pc, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861413197
PECOS PAC ID: 1951388180
Enrollment ID: O20040706000589

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. Dr Charles B Idom 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
Dr Charles B Idom Jr, MD, FACS
1434 Broadrick Dr,
Dalton, GA 30720-3009

Ph: (706) 278-5961		Dr Charles B Idom Jr, MD, FACS
1434 Broadrick Dr,
Dalton, GA 30720-3009

Ph: (706) 278-5961

Reviews and Comments


Urology Doctors in Dalton, GA

Dr. Paul Edward Henson Jr., MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1837 Wood Valley Dr, Dalton, GA 30720
Phone: 706-226-7790    
Dr. Joseph Anthony Veys, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1434 Broadrick Dr, Dalton, GA 30720
Phone: 706-278-5961    Fax: 706-275-0280

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.