Derek Paul Pendarvis, MD in Gainesville, GA

Derek Paul Pendarvis, MD is a medicare enrolled "Surgery" physician in Gainesville, Georgia. His current practice location is 725 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 536-2323.

Derek Paul Pendarvis is licensed to practice in Georgia (license number 049933) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104806108.

Contact Information

	Derek Paul Pendarvis, MD
	725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834
	(770) 536-2323
	(770) 536-4947

Map and Direction

Physician's Profile

Full Name	Derek Paul Pendarvis
Gender	Male
Speciality
Experience	Years
Location	725 Jesse Jewell Pkwy Se, Gainesville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek Paul Pendarvis attended and graduated from in

NPI Data:

NPI Number: 1104806108
Provider Enumeration Date: 01/18/2006
Last Update Date: 05/22/2024

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Derek Paul Pendarvis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104806108	NPI	-	NPPES
1700231	Other	GA	UNITED HEALTHCARE
000904274A	Medicaid	GA
10045029	Other	GA	AMERIGROUP
52843776	Other	GA	BCBS
000904274B	Medicaid	GA
341106	Other	GA	WELLCARE
7816063	Other	GA	CIGNA
20050660	Other	GA	RR MEDICARE-GRP # CC4177

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	049933 (Georgia)	Primary

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. Derek Paul Pendarvis 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
Derek Paul Pendarvis, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122	Derek Paul Pendarvis, MD 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 536-2323

Reviews and Comments

Surgery Doctors in Gainesville, GA

Dr. Thomas Gregory Delong, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1387 Springdale Rd, Gainesville, GA 30501 Phone: 770-534-0984
Courtney L Grant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435
Mary Hannah Read, MD Surgery Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-533-6523
Phillip Patrick Rideout, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000
Julius Timothy Fulenwider, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 Jesse Jewell Pkwy Ne, Ste B, Gainesville, GA 30501 Phone: 770-536-5733 Fax: 770-534-2114
James A. Butts Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947

Derek Paul Pendarvis, MD - Medicare in Gainesville, GA