Dr Louis Jack Herskowitz, MD is a medicare enrolled "Dermatology" physician in Austell, Georgia. His current practice location is
1790 Mulkey Rd, Suite 1, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 941-1013.
Dr Louis Jack Herskowitz is licensed to practice in Georgia (license number 020546) 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 1972561819.
Physician's Profile
Full Name | Dr Louis Jack Herskowitz |
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Gender | Male |
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Speciality | Dermatology |
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Location | 1790 Mulkey Rd, Austell, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972561819
- Provider Enumeration Date: 05/02/2006
- Last Update Date: 06/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183807720
- Enrollment ID: I20110321000196
Medical Identifiers
Medical identifiers for Dr Louis Jack Herskowitz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972561819 | NPI | - | NPPES |
D29820 | Other | GA | PIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 020546 (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 Louis Jack Herskowitz allows following entities to bill medicare on his behalf.
Entity Name | Skin Cancer Specialists P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114022167 PECOS PAC ID: 6800885757 Enrollment ID: O20040507000201 |
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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 Louis Jack Herskowitz 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 Louis Jack Herskowitz, MD 835 Cogburn Avenue Nw, Suite 250, Marietta, GA 30060-1031 Ph: (770) 422-8815 | Dr Louis Jack Herskowitz, MD 1790 Mulkey Rd, Suite 1, Austell, GA 30106-1122 Ph: (770) 941-1013 |
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