Dr Erika R Hales, MD - Medicare Pediatrics in Alpharetta, GA

Dr Erika R Hales, MD is a medicare enrolled "Pediatrics" physician in Alpharetta, Georgia. Her current practice location is 3550 Preston Ridge Rd, Alpharetta, Georgia. You can reach out to her office (for appointments etc.) via phone at (917) 687-1462.

Dr Erika R Hales is licensed to practice in Georgia (license number 062703) 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 1497940696.

Contact Information

Dr Erika R Hales, MD
3550 Preston Ridge Rd,
Alpharetta, GA 30005-3821
(917) 687-1462
Not Available

Map and Direction




Physician's Profile

Full NameDr Erika R Hales
GenderFemale
SpecialityPediatrics
Location3550 Preston Ridge Rd, Alpharetta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497940696
  • Provider Enumeration Date: 09/11/2007
  • Last Update Date: 01/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567610538
  • Enrollment ID: I20120917000389

Medical Identifiers

Medical identifiers for Dr Erika R Hales such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497940696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 432728 (Pennsylvania)Secondary
208000000XPediatrics 062703 (Georgia)Primary

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 Erika R Hales allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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 Erika R Hales 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 Erika R Hales, MD
3495 Piedmont Rd Ne, Nine Piedmont Road,,
Atlanta, GA 30305-1717

Ph: (404) 364-7070
Dr Erika R Hales, MD
3550 Preston Ridge Rd,
Alpharetta, GA 30005-3821

Ph: (917) 687-1462

Reviews and Comments


Pediatrics Doctors in Alpharetta, GA

Mrs. Sandra S Zehnder, CPNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3005 Royal Blvd S, Suite 110, Alpharetta, GA 30022
Phone: 770-442-5437    Fax: 770-664-7836
Gabraella Drake-forte, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3400-c Old Milton Pkwy, Ste 490, Alpharetta, GA 30005
Phone: 678-297-0070    Fax: 678-297-0073
Reanne Parrenas Stephansson, M.D.F.A.A.P
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 11975 Morris Road, Ste 210, Alpharetta, GA 30005
Phone: 770-664-0088    Fax: 770-664-8228
Dr. Thomas John Steimer Ii, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3550 Preston Ridge Rd, Pediatrics Health Care Team A, Alpharetta, GA 30005
Phone: 770-663-3303    Fax: 770-663-3200
Mrs. Danelle Phelps Wilson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3180 North Point Pkwy, Suite 410, Alpharetta, GA 30005
Phone: 770-664-0088    Fax: 770-664-8228
Dr. Larue D Penny Jr., M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Old Milton Pkwy, Suite 330/bldg A, Alpharetta, GA 30005
Phone: 770-751-6111    
Nancy H Gallups, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2365 Old Milton Pkwy, Suite 200, Alpharetta, GA 30004
Phone: 770-753-0053    Fax: 770-753-0021

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.