Marielena Cecilia Vasquez, MD in Fort Moore, GA

Marielena Cecilia Vasquez, MD is a medicare enrolled "Pediatrics" physician in Fort Moore, Georgia. Her current practice location is 6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia. You can reach out to her office (for appointments etc.) via phone at (624) 082-2737.

Marielena Cecilia Vasquez is licensed to practice in Georgia (license number 62790) 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 1841311347.

Contact Information

	Marielena Cecilia Vasquez, MD
	6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102
	(624) 082-2737
	Not Available

Map and Direction

Physician's Profile

Full Name	Marielena Cecilia Vasquez
Gender	Female
Speciality	Pediatrics
Location	6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841311347
Provider Enumeration Date: 04/02/2007
Last Update Date: 01/17/2025

Medicare PECOS Information:

PECOS PAC ID: 0446579171
Enrollment ID: I20241113003282

Medical Identifiers

Medical identifiers for Marielena Cecilia Vasquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841311347	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	001912 (Georgia)	Secondary
208000000X	Pediatrics	62790 (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. Marielena Cecilia Vasquez allows following entities to bill medicare on her behalf.

Entity Name	Emergency Group Of Columbus Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316458227 PECOS PAC ID: 2668735515 Enrollment ID: O20180406001191

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. Marielena Cecilia Vasquez 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
Marielena Cecilia Vasquez, MD 1120 15th St, Augusta, GA 30912-0004 Ph: () -	Marielena Cecilia Vasquez, MD 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 Ph: (624) 082-2737

Reviews and Comments

Pediatrics Doctors in Fort Moore, GA

Graeme Philip Bloomfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 660-031-9057
Afsheen Siddique, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-0374
Brittany Bumgardner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-2273
Ayesha Mejia Nettles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-2273 Fax: 762-408-8101

Marielena Cecilia Vasquez, MD - Medicare Pediatrics in Fort Moore, GA