Dr Jessica Agnes Kobleur, MD in Gainesville, GA

Dr Jessica Agnes Kobleur, MD is a medicare enrolled "Pediatrics" physician in Gainesville, Georgia. Her current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 535-3611.

Dr Jessica Agnes Kobleur is licensed to practice in Georgia (license number 064662) 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 1790982361.

Contact Information

	Dr Jessica Agnes Kobleur, MD
	743 Spring St Ne, Gainesville, GA 30501-3715
	(770) 535-3611
	(770) 535-7092

Map and Direction

Physician's Profile

Full Name	Dr Jessica Agnes Kobleur
Gender	Female
Speciality	Pediatrics
Location	743 Spring St Ne, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790982361
Provider Enumeration Date: 06/28/2007
Last Update Date: 03/06/2019

Medicare PECOS Information:

PECOS PAC ID: 2365635729
Enrollment ID: I20101019000528

Medical Identifiers

Medical identifiers for Dr Jessica Agnes Kobleur such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790982361	NPI	-	NPPES
GA1079	Medicaid	SC
731872400D	Medicaid	GA
P01069469	Other	GA	RAILROAD MEDICARE
731872400B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	29977 (South Carolina)	Secondary
208000000X	Pediatrics	064662 (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 Jessica Agnes Kobleur allows following entities to bill medicare on her behalf.

Entity Name	Mppg Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338

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. Dr Jessica Agnes Kobleur 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 Jessica Agnes Kobleur, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 533-6511	Dr Jessica Agnes Kobleur, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 535-3611

Reviews and Comments

Pediatrics Doctors in Gainesville, GA

Cynthia Aracelly Cabrera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-533-6645 Fax: 770-535-2642
Dr. Kelly Miller Lathem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 S Enota Dr Ne, Suite 150, Gainesville, GA 30501 Phone: 770-534-5255 Fax: 770-287-3871
Heather D Butler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501 Phone: 770-534-5255 Fax: 770-287-3871
Nancy Ellen Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092
John V Glisson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092
Dr. Varachati Soodjinda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 592 Medical Park Dr, Suite A, Gainesville, GA 30501 Phone: 770-374-0068
Megan Joyce Farley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092

Dr Jessica Agnes Kobleur, MD - Medicare Pediatrics in Gainesville, GA