Dr David Macy Vidrine, MD in Marietta, GA

Dr David Macy Vidrine, MD is a medicare enrolled "Otolaryngology" physician in Marietta, Georgia. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2001 and has 25 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice South Carolina Ent Allergy And Sleep Medicine Pa and his current practice location is 80 Lacy St Nw, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 427-0368.

Dr David Macy Vidrine is licensed to practice in Georgia (license number 109818) 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 1447293121.

Contact Information

	Dr David Macy Vidrine, MD
	80 Lacy St Nw, Marietta, GA 30060-1112
	(770) 427-0368
	(678) 581-5969

Map and Direction

Physician's Profile

Full Name	Dr David Macy Vidrine
Gender	Male
Speciality	Otolaryngology
Experience	25 Years
Location	80 Lacy St Nw, Marietta, 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:

Dr David Macy Vidrine attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2001

NPI Data:

NPI Number: 1447293121
Provider Enumeration Date: 06/13/2006
Last Update Date: 05/04/2026

Medicare PECOS Information:

PECOS PAC ID: 2668366824
Enrollment ID: I20070815000312

Medical Identifiers

Medical identifiers for Dr David Macy Vidrine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447293121	NPI	-	NPPES
301177	Medicaid	SC
DE5192	Other	SC	UNSPECIFIED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YP0228X	Otolaryngology - Pediatric Otolaryngology	30117 (South Carolina)	Secondary
207Y00000X	Otolaryngology	109818 (Georgia)	Primary
207YP0228X	Otolaryngology - Pediatric Otolaryngology	226983 (Massachusetts)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Carolina Ent Allergy And Sleep Medicine Pa	0840214748	23

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 David Macy Vidrine allows following entities to bill medicare on his behalf.

Entity Name	South Carolina Ent Allergy & Sleep Medicine Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134153083 PECOS PAC ID: 0840214748 Enrollment ID: O20060118000755

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 David Macy Vidrine 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 David Macy Vidrine, MD Po Box 23781, New York, NY 10087-3781 Ph: (770) 427-0368	Dr David Macy Vidrine, MD 80 Lacy St Nw, Marietta, GA 30060-1112 Ph: (770) 427-0368

Reviews and Comments

Otolaryngology Doctors in Marietta, GA

Audra Crabbe, PA-C Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2056 Pawnee Dr Se, Marietta, GA 30067 Phone: 908-391-2395
Dr. Andrew Everett Sutton, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 330, Marietta, GA 30060 Phone: 770-427-0368 Fax: 678-581-5969
Avani Patel Ingley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 80 Lacy St Nw, Northwest Ent And Allergy Center, Marietta, GA 30060 Phone: 770-427-0368
Dr. Sally M. Revell, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 699 Church St Ne, Ste 340, Marietta, GA 30060 Phone: 770-793-7613 Fax: 770-793-7413
Dr. Debbie J Christensen, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 699 Church St Ne, Ste 340, Marietta, GA 30060 Phone: 678-355-1620
Dr. David Michael Weeks, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 699 Church St, Ste 340, Marietta, GA 30060 Phone: 678-355-1620

Dr David Macy Vidrine, MD - Medicare Otolaryngology in Marietta, GA