Mr Lawrence Robert Deardurff Iii, PA in Marietta, GA

Mr Lawrence Robert Deardurff Iii, PA is a medicare enrolled "Physician Assistant" in Marietta, Georgia. His current practice location is 677 Church St Ne, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 793-7750.

Mr Lawrence Robert Deardurff Iii is licensed to practice in * (Not Available) (license number ) 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 1063817328.

Contact Information

	Mr Lawrence Robert Deardurff Iii, PA
	677 Church St Ne, Marietta, GA 30060-1101
	(770) 793-7750
	(470) 986-7142

Map and Direction

Provider's Profile

Full Name	Mr Lawrence Robert Deardurff Iii
Gender	Male
Speciality	Physician Assistant
Location	677 Church St Ne, 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: 1063817328
Provider Enumeration Date: 10/29/2014
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 5193045862
Enrollment ID: I20150520000820

Medical Identifiers

Medical identifiers for Mr Lawrence Robert Deardurff Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063817328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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. Mr Lawrence Robert Deardurff Iii allows following entities to bill medicare on his behalf.

Entity Name	North Fulton Emergency Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053456954 PECOS PAC ID: 6800981986 Enrollment ID: O20071004000272

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. Mr Lawrence Robert Deardurff Iii 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
Mr Lawrence Robert Deardurff Iii, PA 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 793-7750	Mr Lawrence Robert Deardurff Iii, PA 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 793-7750

Reviews and Comments

Physician Assistant Nurses in Marietta, GA

Mrs. Torey Charlise Davis-bogan, SA-C, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3105 Rome Ct Sw, Marietta, GA 30064 Phone: 317-664-0771
Yumei Manzano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 699 Church St Ne Ste 340, Marietta, GA 30060 Phone: 678-355-1620
Mrs. Lisa M Lewis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068 Phone: 770-971-3376
Erin Alexandra Oweida, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 Kennestone Hospital Blvd, Marietta, GA 30060 Phone: 770-793-7900
Ms. Megan Nichole Dalton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060 Phone: 770-281-5100 Fax: 678-581-7100
Jonathan Collier Stone, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1044 Azalea Cir, Marietta, GA 30062 Phone: 770-354-0584
Raajan Raja Arulampalam, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108

Mr Lawrence Robert Deardurff Iii, PA - Medicare Physician Assistant in Marietta, GA