Dr Krunal Jethwa, MD - Medicare Family Practice in Marietta, GA

Dr Krunal Jethwa, MD is a medicare enrolled "Family Medicine" physician in Marietta, Georgia. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wellstar Medical Group, Llc and his current practice location is 4800 Olde Towne Pkwy Ste 150a, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 509-1025.

Dr Krunal Jethwa is licensed to practice in Georgia (license number 87558) 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 1457607400.

Contact Information

Dr Krunal Jethwa, MD
4800 Olde Towne Pkwy Ste 150a,
Marietta, GA 30068-4357
(770) 509-1025
(770) 509-1884

Map and Direction




Physician's Profile

Full NameDr Krunal Jethwa
GenderMale
SpecialityFamily Practice
Experience12 Years
Location4800 Olde Towne Pkwy Ste 150a, Marietta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Krunal Jethwa graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1457607400
  • Provider Enumeration Date: 07/27/2012
  • Last Update Date: 06/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719117860
  • Enrollment ID: I20210503000371

Medical Identifiers

Medical identifiers for Dr Krunal Jethwa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457607400NPI-NPPES
394013MedicaidSC
SC91676121OtherSCMEDICARE PIN
SC91675193OtherSCMEDICARE PIN
SC9167J577OtherSCMEDICARE PIN
SC91676067OtherSCMEDICARE PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 39401 (South Carolina)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 87558 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar North Fulton HospitalRoswell, GAHospital
Wellstar Kennestone HospitalMarietta, GAHospital
Wellstar Cobb HospitalAustell, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstar Medical Group, Llc67090654021917

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 Krunal Jethwa allows following entities to bill medicare on his behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameNorthside Urgent Care Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 Krunal Jethwa 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 Krunal Jethwa, MD
4800 Olde Towne Pkwy Ste 150a,
Marietta, GA 30068-4357

Ph: (770) 509-1025
Dr Krunal Jethwa, MD
4800 Olde Towne Pkwy Ste 150a,
Marietta, GA 30068-4357

Ph: (770) 509-1025

Reviews and Comments


Family Medicine Doctors in Marietta, GA

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Dr. Miles Eli Brett, M.D.
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Phone: 770-952-1032    Fax: 770-952-8579

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.