Benjamin J Toole, MD - Medicare Pediatrics in Albany, GA

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Benjamin J Toole, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Albany, Georgia. His current practice location is 2709 Meredyth Dr Ste 200, Albany, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 256-2593.

Benjamin J Toole is licensed to practice in Georgia (license number 063744) 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 1538377502.

Contact Information

Benjamin J Toole, MD
2709 Meredyth Dr Ste 200,
Albany, GA 31707-0222
(404) 256-2593
(770) 488-9408

Map and Direction




Physician's Profile

Full NameBenjamin J Toole
GenderMale
SpecialityPediatrics - Pediatric Cardiology
Location2709 Meredyth Dr Ste 200, Albany, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538377502
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 01/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335290691
  • Enrollment ID: I20140507000691

Medical Identifiers

Medical identifiers for Benjamin J Toole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538377502NPI-NPPES
111017MedicaidAL
515-99848OtherALBCBS
515-98367OtherALBCBS
110478MedicaidAL
1538377502OtherALTRICARE SOUTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD.28609 (Alabama)Secondary
208000000XPediatrics P3088 (Texas)Secondary
208000000XPediatrics 63744 (Georgia)Secondary
208000000XPediatrics MD.28609 (Alabama)Secondary
2080P0202XPediatrics - Pediatric Cardiology 063744 (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. Benjamin J Toole allows following entities to bill medicare on his behalf.
Entity NameHospital Authority Of Mitchell County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700830247
PECOS PAC ID: 6002724598
Enrollment ID: O20031117000138
Entity NameJohn D. Archbold Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194779702
PECOS PAC ID: 4981502622
Enrollment ID: O20031219000506
Entity NameGrady General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013961507
PECOS PAC ID: 7618866518
Enrollment ID: O20040310001254
Entity NameBrooks County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306890942
PECOS PAC ID: 1557279049
Enrollment ID: O20040316000884
Entity NameChildren's Healthcare Of Atlanta Cardiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235148727
PECOS PAC ID: 6901888395
Enrollment ID: O20040601000805
Entity NameSt Francis Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326749417
PECOS PAC ID: 8729381033
Enrollment ID: O20160120002073

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. Benjamin J Toole 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
Benjamin J Toole, MD
2835 Brandywine Rd, Suite 300,
Atlanta, GA 30341-5510

Ph: (404) 256-2593		Benjamin J Toole, MD
2709 Meredyth Dr Ste 200,
Albany, GA 31707-0222

Ph: (404) 256-2593

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.