Dr Jacob Daniel Deweese, OD in Marietta, GA - Medicare Optometrist Provider

Dr Jacob Daniel Deweese, OD is a medicare enrolled "Optometrist" provider in Marietta, Georgia. His current practice location is 2200 Roswell Rd Ste 160, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 565-6200.

Dr Jacob Daniel Deweese is licensed to practice in Georgia (license number OPT003376) 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 1699437129.

Contact Information

	Dr Jacob Daniel Deweese, OD
	2200 Roswell Rd Ste 160, Marietta, GA 30062-2984
	(770) 565-6200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob Daniel Deweese
Gender	Male
Speciality	Optometrist
Location	2200 Roswell Rd Ste 160, 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: 1699437129
Provider Enumeration Date: 10/12/2021
Last Update Date: 10/12/2021

Medicare PECOS Information:

PECOS PAC ID: 9638520174
Enrollment ID: I20240109001583

Medical Identifiers

Medical identifiers for Dr Jacob Daniel Deweese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699437129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT003376 (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. Dr Jacob Daniel Deweese allows following entities to bill medicare on his behalf.

Provider Name	Family First Vision Care Georgia
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649881236 PECOS PAC ID: 3173934981 Enrollment ID: O20201201000312

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. Dr Jacob Daniel Deweese 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
Dr Jacob Daniel Deweese, OD 3699 Lenox Rd Ne Apt G47, Atlanta, GA 30305-3489 Ph: (317) 607-8930	Dr Jacob Daniel Deweese, OD 2200 Roswell Rd Ste 160, Marietta, GA 30062-2984 Ph: (770) 565-6200

Reviews and Comments

Optometrist in Marietta, GA

Nicole L Mardak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se, Suite 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738
Mr. Stuart R Tasman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 678-369-7212
Marietta Vision Professionals Optometrist Medicare: Medicare Enrolled Practice Location: 2230 Roswell Rd, Suite 100, Marietta, GA 30062 Phone: 678-903-2579 Fax: 678-903-2583
Dr. Scott Busey Holcomb, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Ste 660, Marietta, GA 30064 Phone: 770-590-8951 Fax: 770-590-8135
Gray W Sass, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1545 Powers Ferry Rd Se, Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738
The Saun Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 4690 Jefferson Township Ln, Marietta, GA 30066 Phone: 404-402-7870 Fax: 770-872-7463
Dr. Jennifer Lynne Travis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Suite 660, Marietta, GA 30064 Phone: 770-590-8951

Dr Jacob Daniel Deweese, OD - Medicare Optometrist in Marietta, GA