Joshua Brent Herndon, is a medicare enrolled "Internal Medicine" physician in Summerville, Georgia. His current practice location is
11766 Highway 27, Summerville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 857-3915.
Joshua Brent Herndon is licensed to practice in Georgia (license number 95722) 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 1194354266.
Physician's Profile
| Full Name | Joshua Brent Herndon |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 11766 Highway 27, Summerville, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194354266
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 09/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133546344
- Enrollment ID: I20230719001909
Medical Identifiers
Medical identifiers for Joshua Brent Herndon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194354266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 95722 (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. Joshua Brent Herndon allows following entities to bill medicare on his behalf.
| Entity Name | Floyd Healthcare Management Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689610149
PECOS PAC ID: 5193633386
Enrollment ID: O20040127000897 |
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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. Joshua Brent Herndon 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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Joshua Brent Herndon,
420 E 2nd Ave Ste 103,
Rome, GA 30161-3210
Ph: (706) 509-3000 | Joshua Brent Herndon,
11766 Highway 27,
Summerville, GA 30747-5989
Ph: (706) 857-3915 |
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