Susan Gail Staviss, MD in Marietta, GA

Susan Gail Staviss, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Marietta, Georgia. Her current practice location is 3939 Roswell Rd, Suite 300, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 578-2868.

Susan Gail Staviss is licensed to practice in Georgia (license number 038652) 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 1346242229.

Contact Information

	Susan Gail Staviss, MD
	3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251
	(770) 578-2868
	(770) 971-8499

Map and Direction

Physician's Profile

Full Name	Susan Gail Staviss
Gender	Female
Speciality	Pediatrics - Adolescent Medicine
Location	3939 Roswell Rd, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346242229
Provider Enumeration Date: 08/11/2005
Last Update Date: 10/02/2019

Medicare PECOS Information:

PECOS PAC ID: 8426468752
Enrollment ID: I20201027003492

Medical Identifiers

Medical identifiers for Susan Gail Staviss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346242229	NPI	-	NPPES
000607703D	Medicaid	GA
241020	Other	GA	PRIVATE HEALTHCARE SYSTEM
4508167	Other	GA	AETNA USHEALTHCARE
3308662027	Other	GA	CIGNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	038652 (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. Susan Gail Staviss allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Susan Gail Staviss 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
Susan Gail Staviss, MD 3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251 Ph: (770) 578-2868	Susan Gail Staviss, MD 3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251 Ph: (770) 578-2868

Reviews and Comments

Pediatrics Doctors in Marietta, GA

Mrs. Nicole A Smail, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd, Suite 100, Marietta, GA 30062 Phone: 770-978-4700
Dr. Stephanie Lynette Poole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 Campbell Hill St Nw Ste 103, Marietta, GA 30060 Phone: 770-499-8909 Fax: 770-499-8911
Brenda L Marino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 677 Church St, Hospital Based Only Kennestone Wellstar, Marietta, GA 30060 Phone: 770-779-3603 Fax: 770-793-9925
Carla A Mclean-joseph, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 County Services Pkwy Sw, Marietta, GA 30008 Phone: 770-528-4192 Fax: 770-528-5463
Dr. Bianca Camac Bell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5672
Dr. Lori Spitzer Corley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3707 Largent Way Nw, Marietta, GA 30064 Phone: 678-581-5729 Fax: 678-581-5719
Mr. Richard Rhodes, NP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd Ste 100, Marietta, GA 30062 Phone: 770-973-4700

Susan Gail Staviss, MD - Medicare Pediatrics in Marietta, GA