Dr Mary Jean East, MD is a medicare enrolled "Family Medicine" in Dallas, Georgia. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. Her current practice location is
539 Hardee St, Dallas, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 505-0531.
Dr Mary Jean East is licensed to practice in Georgia (license number 063187) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225091341.
Provider's Profile
| Full Name | Dr Mary Jean East |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 18 Years |
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| Location | 539 Hardee St, Dallas, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mary Jean East graduated from nursing school in 2006
NPI Data:
- NPI Number: 1225091341
- Provider Enumeration Date: 04/10/2006
- Last Update Date: 08/08/2012
Medicare PECOS Information:
- PECOS PAC ID: 8820124431
- Enrollment ID: I20100407000063
Medical Identifiers
Medical identifiers for Dr Mary Jean East such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225091341 | NPI | - | NPPES |
| 000430515A | Medicaid | GA | |
| 085000588G | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | RN032537 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 063187 (Georgia) | Primary |
Medical Facilities Affiliation
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 Mary Jean East allows following entities to bill medicare on her behalf.
| Entity Name | East Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831563261
PECOS PAC ID: 1557662699
Enrollment ID: O20151215002341 |
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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 Mary Jean East 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 Mary Jean East, MD
539 Hardee St,
Dallas, GA 30132-4711
Ph: (770) 505-0531 | Dr Mary Jean East, MD
539 Hardee St,
Dallas, GA 30132-4711
Ph: (770) 505-0531 |
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