Katherine Smith Herzog, MD in Gainesville, GA

Katherine Smith Herzog, MD is a medicare enrolled "Pediatrics" physician in Gainesville, Georgia. Her current practice location is 725 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 535-3611.

Katherine Smith Herzog is licensed to practice in Georgia (license number 071838) 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 1366603326.

Contact Information

	Katherine Smith Herzog, MD
	725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834
	(770) 535-3611
	(770) 535-7092

Map and Direction

Physician's Profile

Full Name	Katherine Smith Herzog
Gender	Female
Speciality	Pediatrics
Location	725 Jesse Jewell Pkwy Se, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366603326
Provider Enumeration Date: 06/23/2008
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 1153581764
Enrollment ID: I20140820002223

Medical Identifiers

Medical identifiers for Katherine Smith Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366603326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	30892 (South Carolina)	Secondary
208000000X	Pediatrics	ME114990 (Florida)	Secondary
208000000X	Pediatrics	071838 (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. Katherine Smith Herzog allows following entities to bill medicare on her behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

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. Katherine Smith Herzog 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
Katherine Smith Herzog, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122	Katherine Smith Herzog, MD 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 535-3611

Reviews and Comments

Pediatrics Doctors in Gainesville, GA

Cynthia Aracelly Cabrera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-533-6645 Fax: 770-535-2642
Dr. Kelly Miller Lathem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 S Enota Dr Ne, Suite 150, Gainesville, GA 30501 Phone: 770-534-5255 Fax: 770-287-3871
Heather D Butler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501 Phone: 770-534-5255 Fax: 770-287-3871
Nancy Ellen Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092
John V Glisson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092
Dr. Varachati Soodjinda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 592 Medical Park Dr, Suite A, Gainesville, GA 30501 Phone: 770-374-0068
Megan Joyce Farley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092

Katherine Smith Herzog, MD - Medicare Pediatrics in Gainesville, GA