Jennifer Gamble, PA is a medicare enrolled "Physician Assistant" physician in Atlanta, Georgia. Her current practice location is
95 Collier Rd Nw Ste 2065, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 605-2800.
Jennifer Gamble is licensed to practice in Georgia (license number 11977) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558143032.
Physician's Profile
Full Name | Jennifer Gamble |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 95 Collier Rd Nw Ste 2065, Atlanta, 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: 1558143032
- Provider Enumeration Date: 10/18/2023
- Last Update Date: 12/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274982590
- Enrollment ID: I20231212003667
Medical Identifiers
Medical identifiers for Jennifer Gamble such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558143032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RA0001X | Internal Medicine - Advanced Heart Failure And Transplant Cardiology | 11977 (Georgia) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 11977 (Georgia) | Secondary |
363A00000X | Physician Assistant | 11977 (Georgia) | Primary |
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. Jennifer Gamble 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 |
Jennifer Gamble, PA 4381 Lake Idylwilde Dr, Evans, GA 30809-3047 Ph: (706) 829-3211 | Jennifer Gamble, PA 95 Collier Rd Nw Ste 2065, Atlanta, GA 30309-1705 Ph: (404) 605-2800 |
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