Dr John A Fountain, MD is a medicare enrolled "Dermatology" physician in Conyers, Georgia. His current practice location is
1349 Milstead Rd Ne, Conyers, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 922-1716.
Dr John A Fountain is licensed to practice in Georgia (license number 021688) 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 1629076906.
Physician's Profile
| Full Name | Dr John A Fountain |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1349 Milstead Rd Ne, Conyers, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John A Fountain attended and graduated from in
NPI Data:
- NPI Number: 1629076906
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 04/23/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr John A Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629076906 | NPI | - | NPPES |
| 531562 | Other | GA | BCBS OF GA |
| 00263051C | Medicaid | GA | |
| 070007907 | Other | GA | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 021688 (Georgia) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 021688 (Georgia) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 021688 (Georgia) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 021688 (Georgia) | Secondary |
| 208D00000X | General Practice | 021688 (Georgia) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 021688 (Georgia) | Secondary |
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 John A Fountain 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 |
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Dr John A Fountain, MD
2400 Bellevue Rd, Suite 21-a,
Dublin, GA 31021-2885
Ph: (478) 275-7202 | Dr John A Fountain, MD
1349 Milstead Rd Ne,
Conyers, GA 30012-3871
Ph: (770) 922-1716 |
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