Early Detection Intervention Clinic - Medicare Primary Care in Marietta, GA

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Early Detection Intervention Clinic is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Marietta, Georgia. The current practice location for Early Detection Intervention Clinic is 1950 Spectrum Cir Se Ste 200, Marietta, Georgia. For appointments, you can reach them via phone at (678) 921-2706. The mailing address for Early Detection Intervention Clinic is 1950 Spectrum Cir Se Ste 200, Marietta, Georgia and phone number is (678) 921-2706.

Early Detection Intervention Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215251640. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (678) 921-2706.

Contact Information

Early Detection Intervention Clinic
1950 Spectrum Cir Se Ste 200
Marietta
GA 30067-8469
(678) 921-2706
(877) 850-1971

Map and Direction


Primary Care Clinic Profile

Full NameEarly Detection Intervention Clinic
SpecialityClinic/Center
Location1950 Spectrum Cir Se Ste 200, Marietta, Georgia
Authorized Official Name and PositionRonnie E Bass (EXECUTIVE DIRECTOR)
Authorized Official Contact6789212706
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Early Detection Intervention Clinic
1950 Spectrum Cir Se Ste 200
Marietta
GA 30067-8469

Ph: (678) 921-2706		Early Detection Intervention Clinic
1950 Spectrum Cir Se Ste 200
Marietta
GA 30067-8469

Ph: (678) 921-2706

NPI Details:

NPI Number1215251640
Provider Enumeration Date03/14/2010
Last Update Date03/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1658400890
Medicare Enrollment IDO20100526000233

Medical Identifiers

Medical identifiers for Early Detection Intervention Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215251640NPI-NPPES
11D1094206OtherGACLIA CERTIFICATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (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. Early Detection Intervention Clinic acts as a billing entity for following providers:
Provider NameEsther Marie Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942487012
PECOS PAC ID: 8628015500
Enrollment ID: I20050412001024
Provider NameEarl C Joyner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851386320
PECOS PAC ID: 9133139868
Enrollment ID: I20060426000222
Provider NameAndrea R Jefferson Saboor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407895618
PECOS PAC ID: 4385714641
Enrollment ID: I20080529000741
Provider NameHasan H Rahman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497957088
PECOS PAC ID: 5395922090
Enrollment ID: I20120709000509
Provider NameJasmine U Kearse
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1366711822
PECOS PAC ID: 5193026490
Enrollment ID: I20151210000534
Provider NameSharee Simone Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255835922
PECOS PAC ID: 2668720319
Enrollment ID: I20180813001201
Provider NameMila M Huffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548655137
PECOS PAC ID: 3072817071
Enrollment ID: I20180920001568
Provider NameDanisha R Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538623939
PECOS PAC ID: 2860870755
Enrollment ID: I20220606001321

Reviews and Comments


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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.