Dylan Isaac Marantz, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Roswell, Georgia. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Physicians's Professional Laboratory, P.c. and his current practice location is
3000 Hospital Blvd, Pathology Dept, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 751-2529.
Dylan Isaac Marantz is licensed to practice in Georgia (license number 055129) 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 1285698639.
Physician's Profile
| Full Name | Dylan Isaac Marantz |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 29 Years |
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| Location | 3000 Hospital Blvd, Roswell, 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:
- Dylan Isaac Marantz graduated from medical school in 1995
NPI Data:
- NPI Number: 1285698639
- Provider Enumeration Date: 04/13/2006
- Last Update Date: 07/24/2008
Medicare PECOS Information:
- PECOS PAC ID: 1850332727
- Enrollment ID: I20050520000478
Medical Identifiers
Medical identifiers for Dylan Isaac Marantz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285698639 | NPI | - | NPPES |
| 565333255A | Medicaid | GA | |
| 565333255C | Medicaid | GA | |
| 565333255B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZC0500X | Pathology - Cytopathology | 055129 (Georgia) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 055129 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Physicians's Professional Laboratory, P.c. | 3173517489 | 8 |
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. Dylan Isaac Marantz allows following entities to bill medicare on his behalf.
| Entity Name | Physicians's Professional Laboratory, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982774055
PECOS PAC ID: 3173517489
Enrollment ID: O20040412000001 |
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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. Dylan Isaac Marantz 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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Dylan Isaac Marantz, MD
Po Box 491240,
Lawrenceville, GA 30049
Ph: (770) 751-2529 | Dylan Isaac Marantz, MD
3000 Hospital Blvd, Pathology Dept,
Roswell, GA 30076-4915
Ph: (770) 751-2529 |
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