Larry J Gentry, PA in Atlanta, GA - Medicare Physician Assistant

Larry J Gentry, PA is a medicare enrolled "Physician Assistant" in Atlanta, Georgia. His current practice location is 1000 Johnson Ferry Rd Ne, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 851-8000.

Larry J Gentry is licensed to practice in Georgia (license number 001373) 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 1538113840.

Contact Information

	Larry J Gentry, PA
	1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606
	(404) 851-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Larry J Gentry
Gender	Male
Speciality	Physician Assistant
Location	1000 Johnson Ferry Rd Ne, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538113840
Provider Enumeration Date: 05/20/2006
Last Update Date: 11/13/2008

Medicare PECOS Information:

PECOS PAC ID: 8022153808
Enrollment ID: I20100304000321

Medical Identifiers

Medical identifiers for Larry J Gentry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538113840	NPI	-	NPPES
10041973	Other	GA	AMERIGROUP
333479	Other	GA	WELLCARE
100002611B	Medicaid	GA
100002611A	Medicaid	GA
100002611	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	001373 (Georgia)	Secondary
363A00000X	Physician Assistant	001373 (Georgia)	Primary

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. Larry J Gentry 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
Larry J Gentry, PA Po Box 2968, Kennesaw, GA 30156-9117 Ph: (770) 779-0015	Larry J Gentry, PA 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 Ph: (404) 851-8000

Reviews and Comments

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Larry J Gentry, PA - Medicare Physician Assistant in Atlanta, GA