Dr Pamela Gale Vick-bope, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Jonesboro, Georgia. She went to University Of South Carolina School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Pain Management. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is
2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 677-6304.
Dr Pamela Gale Vick-bope is licensed to practice in Georgia (license number 057855) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942251129.
Physician's Profile
| Full Name | Dr Pamela Gale Vick-bope |
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| Gender | Female |
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| Speciality | Pain Management |
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| Experience | 33 Years |
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| Location | 2400 Mount Zion Parkway, Jonesboro, Georgia |
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| Accepts Medicare Assignments | Yes. She 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 Pamela Gale Vick-bope attended and graduated from University Of South Carolina School Of Medicine in 1991
NPI Data:
- NPI Number: 1942251129
- Provider Enumeration Date: 05/13/2006
- Last Update Date: 02/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486549912
- Enrollment ID: I20061013000064
Medical Identifiers
Medical identifiers for Dr Pamela Gale Vick-bope such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942251129 | NPI | - | NPPES |
| 891262A | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 2001016 (North Carolina) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 057855 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Southeast Permanente Medical Group | 6204829013 | 660 |
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 Pamela Gale Vick-bope allows following entities to bill medicare on her behalf.
| Entity Name | The Southeast Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370 |
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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 Pamela Gale Vick-bope 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 Pamela Gale Vick-bope, MD
3495 Piedmont Road, Ne, Nine Piedmont Center,
Atlanta, GA 30305
Ph: (404) 364-7070 | Dr Pamela Gale Vick-bope, MD
2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center,
Jonesboro, GA 30236
Ph: (404) 677-6304 |
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