Mrs Mary Kathleen Humphries, DO in Decatur, GA

Mrs Mary Kathleen Humphries, DO is a medicare enrolled "Family Medicine" physician in Decatur, Georgia. Her current practice location is 2840 Lavista Rd Ste A, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 639-9180.

Mrs Mary Kathleen Humphries is licensed to practice in Georgia (license number 71988) 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 1578862173.

Contact Information

	Mrs Mary Kathleen Humphries, DO
	2840 Lavista Rd Ste A, Decatur, GA 30033-1350
	(404) 639-9180
	(404) 639-9170

Map and Direction

Physician's Profile

Full Name	Mrs Mary Kathleen Humphries
Gender	Female
Speciality	Family Medicine
Location	2840 Lavista Rd Ste A, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578862173
Provider Enumeration Date: 03/22/2011
Last Update Date: 08/22/2014

Medicare PECOS Information:

PECOS PAC ID: 8224258991
Enrollment ID: I20140930002574

Medical Identifiers

Medical identifiers for Mrs Mary Kathleen Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578862173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	71988 (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. Mrs Mary Kathleen Humphries allows following entities to bill medicare on her behalf.

Entity Name	Peachtree Immediate Care Fp, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049

Entity Name	Health Education, Assessment And Leadership, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831476399 PECOS PAC ID: 0547429292 Enrollment ID: O20120315000479

Entity Name	Physicians Immediate Med Of Decatur, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235573841 PECOS PAC ID: 3072741818 Enrollment ID: O20140124000587

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. Mrs Mary Kathleen Humphries 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
Mrs Mary Kathleen Humphries, DO 2840 Lavista Rd Ste A, Decatur, GA 30033-1350 Ph: (404) 639-9180	Mrs Mary Kathleen Humphries, DO 2840 Lavista Rd Ste A, Decatur, GA 30033-1350 Ph: (404) 639-9180

Reviews and Comments

Family Medicine Doctors in Decatur, GA

Dr. Jonathan Joel Perkins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-5422 Fax: 404-501-1771
Stephen D Day, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4367 Snapfinfer Woods Dr, Decatur, GA 30035 Phone: 770-981-2100 Fax: 770-808-8445
Charles Duane Barclay, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4367 Snapfinger Woods Dr, Decatur, GA 30035 Phone: 770-981-2100 Fax: 770-808-8445
Dr. Charles S Finch Iii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3831 Valpariso Cir, Decatur, GA 30034 Phone: 770-981-7685
Byron Thomas Kelly, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3835 Fax: 404-508-7795
Dr. Nicholas Church, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2801 N Decatur Rd, Suite 295, Decatur, GA 30033 Phone: 404-778-6400 Fax: 404-778-6426
Dr. Syed Zia Ullah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2536 Lawrenceville Hwy, Decatur, GA 30033 Phone: 770-934-6832 Fax: 770-934-6337

Mrs Mary Kathleen Humphries, DO - Medicare Family Medicine in Decatur, GA