John William Carl Carter Mallett, MD in Lagrange, GA

John William Carl Carter Mallett, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Lagrange, Georgia. His current practice location is 1075 Lafayette Pkwy Ste 100, Lagrange, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 443-5273.

John William Carl Carter Mallett is licensed to practice in Georgia (license number 95070) 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 1003310863.

Contact Information

	John William Carl Carter Mallett, MD
	1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241-3507
	(706) 443-5273
	(706) 443-5275

Map and Direction

Physician's Profile

Full Name	John William Carl Carter Mallett
Gender	Male
Speciality	Anesthesiology - Pain Medicine
Location	1075 Lafayette Pkwy Ste 100, Lagrange, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003310863
Provider Enumeration Date: 03/19/2018
Last Update Date: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 4385996115
Enrollment ID: I20220613000370

Medical Identifiers

Medical identifiers for John William Carl Carter Mallett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003310863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	95070 (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. John William Carl Carter Mallett allows following entities to bill medicare on his behalf.

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260

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 William Carl Carter Mallett 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
John William Carl Carter Mallett, MD 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241-3507 Ph: (706) 443-5273	John William Carl Carter Mallett, MD 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241-3507 Ph: (706) 443-5273

Reviews and Comments

Anesthesiology Doctors in Lagrange, GA

Jung H Ahn, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411
Dr. Deborah A Simmons, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1805 Vernon Rd, Suite C, Lagrange, GA 30240 Phone: 706-812-9902 Fax: 706-812-0802
Davin Mitchell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1075 Lafayette Pkwy, Ste 100, Lagrange, GA 30241 Phone: 706-593-3256 Fax: 706-443-5275
Jennifer M Sanderson, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1805 Vernon Rd Ste C, Lagrange, GA 30240 Phone: 706-812-9902 Fax: 706-812-0802

John William Carl Carter Mallett, MD - Medicare Anesthesiology in Lagrange, GA