Dr Kajuana Pearldealia Farrey, DMD in Moultrie, GA

Dr Kajuana Pearldealia Farrey, DMD is a medicare enrolled "Dentist - General Practice" provider in Moultrie, Georgia. Her current practice location is 513 S Main St, Moultrie, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 890-3908.

Dr Kajuana Pearldealia Farrey is licensed to practice in Georgia (license number DN013880) 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 1790911170.

Contact Information

	Dr Kajuana Pearldealia Farrey, DMD
	513 S Main St, Moultrie, GA 31768-4637
	(229) 890-3908
	(229) 890-3909

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kajuana Pearldealia Farrey
Gender	Female
Speciality	Dentist - General Practice
Location	513 S Main St, Moultrie, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790911170
Provider Enumeration Date: 05/30/2009
Last Update Date: 03/27/2011

Medicare PECOS Information:

PECOS PAC ID: 7113073909
Enrollment ID: I20090921000036

Medical Identifiers

Medical identifiers for Dr Kajuana Pearldealia Farrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790911170	NPI	-	NPPES
148974731B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223D0001X	Dentist - Dental Public Health	DN013880 (Georgia)	Secondary
1223G0001X	Dentist - General Practice	DN013880 (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. Dr Kajuana Pearldealia Farrey allows following entities to bill medicare on her behalf.

Entity Name	Farrey Family Dentistry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265731442 PECOS PAC ID: 7911394572 Enrollment ID: O20220428001965

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 Kajuana Pearldealia Farrey 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 Kajuana Pearldealia Farrey, DMD Po Box 2229, Moultrie, GA 31776-2229 Ph: (229) 890-3908	Dr Kajuana Pearldealia Farrey, DMD 513 S Main St, Moultrie, GA 31768-4637 Ph: (229) 890-3908

Reviews and Comments

Dentist in Moultrie, GA

Dr. Stephen William Moore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3 Long Leaf Office Park, Moultrie, GA 31768 Phone: 229-985-7290 Fax: 229-890-6755
Dr. Michael Donald Marable, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 307 5th St Se, Moultrie, GA 31768 Phone: 229-985-5092 Fax: 229-985-0138
Dr. Johnny Levar Gosier, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 315 5th St Se, Moultrie, GA 31768 Phone: 229-589-8813
Dr. Randall R. Benner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1940 S Main St, Moultrie, GA 31768 Phone: 229-985-7222 Fax: 229-891-2640
Dr. Matthew William Carter, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3 Longleaf Office Park, Moultrie, GA 31768 Phone: 229-985-7290
Dr. John Lee Redding, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1 Hospital Park, Moultrie, GA 31768 Phone: 229-985-3363
Jeffery Barnett, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 5 Sweet Bay Ct, Suite A, Moultrie, GA 31768 Phone: 229-985-3367 Fax: 229-890-8129

Dr Kajuana Pearldealia Farrey, DMD - Medicare Dentist in Moultrie, GA