Jennifer Kristen Wagner-hitzeman, MD in Kennesaw, GA

Jennifer Kristen Wagner-hitzeman, MD is a medicare enrolled "Pediatrics" physician in Kennesaw, Georgia. Her current practice location is 750 Townpark Ln Nw, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 364-7285.

Jennifer Kristen Wagner-hitzeman is licensed to practice in Georgia (license number 053370) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720049208.

Contact Information

	Jennifer Kristen Wagner-hitzeman, MD
	750 Townpark Ln Nw, Kennesaw, GA 30144-5579
	(404) 364-7285
	Not Available

Map and Direction

Physician's Profile

Full Name	Jennifer Kristen Wagner-hitzeman
Gender	Female
Speciality	Pediatrics
Location	750 Townpark Ln Nw, Kennesaw, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720049208
Provider Enumeration Date: 04/01/2006
Last Update Date: 03/01/2022

Medicare PECOS Information:

PECOS PAC ID: 6002185287
Enrollment ID: I20170630001831

Medical Identifiers

Medical identifiers for Jennifer Kristen Wagner-hitzeman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720049208	NPI	-	NPPES
864857914A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	053370 (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. Jennifer Kristen Wagner-hitzeman allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Jennifer Kristen Wagner-hitzeman 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
Jennifer Kristen Wagner-hitzeman, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678	Jennifer Kristen Wagner-hitzeman, MD 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 Ph: (404) 364-7285

Reviews and Comments

Pediatrics Doctors in Kennesaw, GA

Brandi Lewis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1180 Ernest W Barrett Pkwy Nw Ste 102b, Kennesaw, GA 30144 Phone: 678-354-2273
Krishna Eechampati, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090
Dr. Kimberly Dao-king, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Kennesaw, GA 30144 Phone: 800-611-1811
Karen Spencer Thrower, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St, Ste 401, Kennesaw, GA 30144 Phone: 770-429-1005 Fax: 770-429-8005
Anabelle Monroe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Pediatrics Health Care Team A, 750 Townpark Lane, Kennesaw, GA 30144 Phone: 770-514-5455 Fax: 770-514-5444
Constance Enmon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090
Bryana Ferris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144 Phone: 678-354-2273 Fax: 770-794-6652

Jennifer Kristen Wagner-hitzeman, MD - Medicare Pediatrics in Kennesaw, GA