Earl Stephenson Jr, MD, DDS is a medicare enrolled "Plastic Surgery" physician in Snellville, Georgia. His current practice location is
2220 Wisteria Dr, Suite 209, Snellville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 466-4700.
Earl Stephenson Jr is licensed to practice in Georgia (license number 045975) 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 1487678751.
Physician's Profile
Full Name | Earl Stephenson Jr |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | 2220 Wisteria Dr, Snellville, 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: 1487678751
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 03/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 8820094311
- Enrollment ID: I20061009000095
Medical Identifiers
Medical identifiers for Earl Stephenson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487678751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 045975 (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. Earl Stephenson Jr allows following entities to bill medicare on his behalf.
Entity Name | Gwinnett Physician Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
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Entity Name | Prima Center For Plastic Surgery |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114065935 PECOS PAC ID: 6608949185 Enrollment ID: O20080820000383 |
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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. Earl Stephenson Jr 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 |
Earl Stephenson Jr, MD, DDS 2220 Wisteria Dr, Suite 209, Snellville, GA 30078-4606 Ph: (770) 466-4700 | Earl Stephenson Jr, MD, DDS 2220 Wisteria Dr, Suite 209, Snellville, GA 30078-4606 Ph: (770) 466-4700 |
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