Ms Gabrielle Sade Johnson, is a medicare enrolled "General Practice" physician in Smyrna, Georgia. Her current practice location is
5100 Whiteoak Ter Se, Smyrna, Georgia. You can reach out to her office (for appointments etc.) via phone at
(850) 321-5631.
Ms Gabrielle Sade Johnson is licensed to practice in Georgia (license number 96035) 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 1619531621.
Physician's Profile
Full Name | Ms Gabrielle Sade Johnson |
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Gender | Female |
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Speciality | General Practice |
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Location | 5100 Whiteoak Ter Se, Smyrna, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619531621
- Provider Enumeration Date: 04/24/2019
- Last Update Date: 08/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800211210
- Enrollment ID: I20230828002734
Medical Identifiers
Medical identifiers for Ms Gabrielle Sade Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619531621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 96035 (Georgia) | Secondary |
208D00000X | General Practice | 96035 (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. Ms Gabrielle Sade Johnson allows following entities to bill medicare on her behalf.
Entity Name | Cogent Healthcare Of Georgia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
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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. Ms Gabrielle Sade Johnson 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 |
Ms Gabrielle Sade Johnson, 5100 Whiteoak Ter Se, Smyrna, GA 30080-7428 Ph: (850) 321-5631 | Ms Gabrielle Sade Johnson, 5100 Whiteoak Ter Se, Smyrna, GA 30080-7428 Ph: (850) 321-5631 |
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