Dr Deepa Sanjay Jagdale, MD in Martinez, GA

Dr Deepa Sanjay Jagdale, MD is a medicare enrolled "Pediatrics" physician in Martinez, Georgia. Her current practice location is 699 Furys Ferry Rd, Martinez, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 901-7337.

Dr Deepa Sanjay Jagdale is licensed to practice in Georgia (license number 003071) 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 1447412184.

Contact Information

	Dr Deepa Sanjay Jagdale, MD
	699 Furys Ferry Rd, Martinez, GA 30907-9064
	(706) 901-7337
	(706) 903-5002

Map and Direction

Physician's Profile

Full Name	Dr Deepa Sanjay Jagdale
Gender	Female
Speciality	Pediatrics
Location	699 Furys Ferry Rd, Martinez, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447412184
Provider Enumeration Date: 06/25/2008
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 5294036935
Enrollment ID: I20151222001250

Medical Identifiers

Medical identifiers for Dr Deepa Sanjay Jagdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447412184	NPI	-	NPPES
003161963F	Medicaid	GA
314582	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	31458 (South Carolina)	Secondary
208000000X	Pediatrics	003071 (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 Deepa Sanjay Jagdale allows following entities to bill medicare on her behalf.

Entity Name	The Pediatric Office Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629025432 PECOS PAC ID: 7113336462 Enrollment ID: O20210517002477

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 Deepa Sanjay Jagdale 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 Deepa Sanjay Jagdale, MD Csra Peds, 699 Furys Ferry Rd, Martinez, GA 30907-3093 Ph: (706) 901-7337	Dr Deepa Sanjay Jagdale, MD 699 Furys Ferry Rd, Martinez, GA 30907-9064 Ph: (706) 901-7337

Reviews and Comments

Pediatrics Doctors in Martinez, GA

Dr. David Robert Charles Fisher, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4106 Columbia Rd, Suite 103, Martinez, GA 30907 Phone: 706-863-1440 Fax: 706-863-5418
Dr. Alan Grant Getts, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4106 Columbia Rd, Suite 103, Martinez, GA 30907 Phone: 706-863-1440 Fax: 706-863-5418
Dr. Yvonne Fry Johnson, MD, MSCR Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 211 Bobby Jones Expy Ste C, Martinez, GA 30907 Phone: 706-364-5533
Dr. Laura D Hartmann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4106 Columbia Rd, Suite 103, Martinez, GA 30907 Phone: 706-863-1440 Fax: 706-863-5418
Dr. Daniel Lamar Allen Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4106 Columbia Rd Ste 103, Martinez, GA 30907 Phone: 706-863-1440 Fax: 706-863-5418

Dr Deepa Sanjay Jagdale, MD - Medicare Pediatrics in Martinez, GA