Jason Allen Pendergrass, FNP - Medicare Nurse Practitioner in Dalton, GA

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Jason Allen Pendergrass, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dalton, Georgia. His current practice location is 1200 Memorial Dr, Dalton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 272-6000.

Jason Allen Pendergrass is licensed to practice in Georgia (license number RN199787) 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 1578929774.

Contact Information

Jason Allen Pendergrass, FNP
1200 Memorial Dr,
Dalton, GA 30720-2529
(706) 272-6000
Not Available

Map and Direction




Provider's Profile

Full NameJason Allen Pendergrass
GenderMale
SpecialityNurse Practitioner - Family
Location1200 Memorial Dr, Dalton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578929774
  • Provider Enumeration Date: 01/05/2016
  • Last Update Date: 02/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3173827797
  • Enrollment ID: I20160202001497

Medical Identifiers

Medical identifiers for Jason Allen Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578929774NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN199787 (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. Jason Allen Pendergrass allows following entities to bill medicare on his behalf.
Entity NamePulmonary & Sleep Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265461172
PECOS PAC ID: 2860305570
Enrollment ID: O20031110000170
Entity NameAdventist Health System Georgia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699791343
PECOS PAC ID: 4486568037
Enrollment ID: O20031203000557
Entity NameHamilton Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528056066
PECOS PAC ID: 0446151179
Enrollment ID: O20040116000053
Entity NameMc Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356907695
PECOS PAC ID: 4183955974
Enrollment ID: O20191009000622

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. Jason Allen Pendergrass 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 AddressPractice Location Address
Jason Allen Pendergrass, FNP
1200 Memorial Dr,
Dalton, GA 30720-2529

Ph: (706) 272-6000		Jason Allen Pendergrass, FNP
1200 Memorial Dr,
Dalton, GA 30720-2529

Ph: (706) 272-6000

Reviews and Comments


Nurse Practitioner Nurses in Dalton, GA

Mrs. Jessica Sanders, FNP
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Practice Location: 1525 Chattanooga Rd, Dalton, GA 30720
Phone: 706-529-7124    Fax: 706-529-7126
Mrs. Katie Louise Wooten, NP-C
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Practice Location: 475 Reed Rd Ste 104, Dalton, GA 30720
Phone: 706-278-1622    Fax: 706-272-6445
Karen Lolley, NP-C
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Practice Location: 443 Gillum Dr Ste 3, Dalton, GA 30721
Phone: 706-229-9709    Fax: 706-229-9779
Joy Bernice Whaley, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 808 Professional Blvd, Dalton, GA 30720
Phone: 706-226-2621    Fax: 706-281-2325
Mrs. Kelli Michelle Welch, APRN BC
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Medicare: Not Enrolled in Medicare
Practice Location: 2918 E Walnut Ave, Dalton, GA 30721
Phone: 706-529-4600    Fax: 706-529-4633
Autumn Denise Bartenfield, APN
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Medicare: Accepting Medicare Assignments
Practice Location: 1525 Chattanooga Ave, Dalton, GA 30720
Phone: 706-529-7124    Fax: 706-529-7126
Rod Lee Lewis, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 1107 Memorial Dr Ste 200, Dalton, GA 30720
Phone: 706-226-9355    Fax: 706-226-9380

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.