Dr Gordon J Peltier, MD in Marietta, GA - Medicare Emergency Medicine

Dr Gordon J Peltier, MD is a medicare enrolled "Emergency Medicine" physician in Marietta, Georgia. His current practice location is 1121 Johnson Ferry Rd, Suite 100, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 509-1025.

Dr Gordon J Peltier is licensed to practice in Georgia (license number 015808) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508805573.

Contact Information

	Dr Gordon J Peltier, MD
	1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425
	(770) 509-1025
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Gordon J Peltier
Gender	Male
Speciality	Emergency Medicine
Location	1121 Johnson Ferry Rd, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508805573
Provider Enumeration Date: 06/05/2006
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 5496656522
Enrollment ID: I20101216000412

Medical Identifiers

Medical identifiers for Dr Gordon J Peltier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508805573	NPI	-	NPPES
00255802B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	015808 (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 Gordon J Peltier allows following entities to bill medicare on his behalf.

Entity Name	Northside Primary Care Professional Services,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206

Entity Name	Northside Urgent Care Holding Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679962237 PECOS PAC ID: 4587984695 Enrollment ID: O20150513000795

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 Gordon J Peltier 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
Dr Gordon J Peltier, MD 1955 Lake Park Dr, Ste. 250, Smyrna, GA 30080 Ph: (678) 223-7700	Dr Gordon J Peltier, MD 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 Ph: (770) 509-1025

Reviews and Comments

Emergency Medicine Doctors in Marietta, GA

Keri Leigh Seamon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church Street, Attn: Gme, Marietta, GA 30060 Phone: 678-850-6212
Joseph J Braintwain, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068 Phone: 770-509-1025
Dr. Rakesh Rasiklal Shah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 Oak Forest Circle, Marietta, GA 30062 Phone: 404-697-5625 Fax: 888-669-9073
Michelle Elizabeth Dehaven, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Cherry St Ne, Marietta, GA 30060 Phone: 770-793-5700
William E Richardson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Cobb Pkwy S, #191, Marietta, GA 30060 Phone: 770-419-4471 Fax: 770-419-4473
Patrick Kamba, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000
Marianne Taryla, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 61 Whitcher St Ne, Suite 2150, Marietta, GA 30060 Phone: 770-422-4268

Dr Gordon J Peltier, MD - Medicare Emergency Medicine in Marietta, GA