Dr John David Vickery Iv, MD is a medicare enrolled "Allergy & Immunology" physician in Newnan, Georgia. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Center For Allergy And Asthma Of Georgia Pc and his current practice location is
37 Calumet Pkwy, Building F, Suite 201, Newnan, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 683-4050.
Dr John David Vickery Iv is licensed to practice in Georgia (license number 67624) 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 1336364793.
Physician's Profile
| Full Name | Dr John David Vickery Iv |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 15 Years |
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| Location | 37 Calumet Pkwy, Newnan, 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 David Vickery Iv attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2010
NPI Data:
- NPI Number: 1336364793
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 05/20/2013
Medicare PECOS Information:
- PECOS PAC ID: 2062558109
- Enrollment ID: I20120605000512
Medical Identifiers
Medical identifiers for Dr John David Vickery Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336364793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 44948 (Tennessee) | Secondary |
| 207K00000X | Allergy & Immunology | 44948 (Tennessee) | Secondary |
| 207K00000X | Allergy & Immunology | 67624 (Georgia) | Primary |
| 207R00000X | Internal Medicine | 67624 (Georgia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Center For Allergy And Asthma Of Georgia Pc | 2062460785 | 10 |
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 John David Vickery Iv allows following entities to bill medicare on his behalf.
| Entity Name | Center For Allergy & Asthma Of Georgia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578504536
PECOS PAC ID: 2062460785
Enrollment ID: O20050110000793 |
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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 David Vickery Iv 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 David Vickery Iv, MD
690 Dallas Hwy, Suite 101,
Villa Rica, GA 30180-1264
Ph: (770) 459-0620 | Dr John David Vickery Iv, MD
37 Calumet Pkwy, Building F, Suite 201,
Newnan, GA 30263-6734
Ph: (770) 683-4050 |
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