John T Madonna Jr, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Blackshear, Georgia. He went to Emory University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice South Georgia Physicians Group, Llc and his current practice location is
333 W Carter Ave, Blackshear, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 632-8961.
John T Madonna Jr is licensed to practice in Georgia (license number 031981) 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 1912933870.
Physician's Profile
| Full Name | John T Madonna Jr |
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| Gender | Male |
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| Speciality | Cardiovascular Disease (cardiology) |
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| Experience | 37 Years |
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| Location | 333 W Carter Ave, Blackshear, 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:
- John T Madonna Jr attended and graduated from Emory University School Of Medicine in 1987
NPI Data:
- NPI Number: 1912933870
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 05/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981507175
- Enrollment ID: I20050513000546
Medical Identifiers
Medical identifiers for John T Madonna Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912933870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | ME97383 (Florida) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 031981 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| South Georgia Physicians Group, Llc | 8224208251 | 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. John T Madonna Jr allows following entities to bill medicare on his behalf.
| Entity Name | St Vincent's Ambulatory Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051129000302 |
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| Entity Name | South Georgia Physicians Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336560952
PECOS PAC ID: 8224208251
Enrollment ID: O20110831000412 |
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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. John T Madonna 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 |
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John T Madonna Jr, MD
1506 Alice St,
Waycross, GA 31501-4531
Ph: (912) 285-9994 | John T Madonna Jr, MD
333 W Carter Ave,
Blackshear, GA 31516-1412
Ph: (912) 632-8961 |
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