John F Mynatt Jr, MD is a
Pediatrics physician based in Locust Grove, Georgia. John F Mynatt Jr is licensed to practice in Georgia (license number 041469) and his current practice location is 5040 Bill Gardner Pkwy, Suite 100, Locust Grove, Georgia. He can be reached at his office (for appointments etc.) via phone at
(678) 583-5437.
NPI number for John F Mynatt Jr is 1629037528 and his current mailing address is 5040 Bill Gardner Pkwy, Suite 100, Locust Grove, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629037528.
Physician's Profile
| Full Name | John F Mynatt Jr |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 5040 Bill Gardner Pkwy, Locust Grove, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629037528
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 06/23/2008
Medical Identifiers
Medical identifiers for John F Mynatt Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629037528 | NPI | - | NPPES |
| 52701109002 | Other | GA | BLUE CROSS BLUE SHIELD |
| 000964785B | Medicaid | GA | |
| 000964785J | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 041469 (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. John F Mynatt Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John F Mynatt Jr, MD
5040 Bill Gardner Pkwy, Suite 100,
Locust Grove, GA 30248-3645
Ph: (678) 583-5437 | John F Mynatt Jr, MD
5040 Bill Gardner Pkwy, Suite 100,
Locust Grove, GA 30248-3645
Ph: (678) 583-5437 |
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