Dr Jeffrey Carl Pence, MD in Marietta, GA

Dr Jeffrey Carl Pence, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Marietta, Georgia. His current practice location is 175 White St Nw Ste 200, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (943) 202-7820.

Dr Jeffrey Carl Pence is licensed to practice in Georgia (license number 2086S0120X) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629063722.

Contact Information

	Dr Jeffrey Carl Pence, MD
	175 White St Nw Ste 200, Marietta, GA 30060-7901
	(943) 202-7820
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jeffrey Carl Pence
Gender	Male
Speciality	Surgery - Pediatric Surgery
Location	175 White St Nw Ste 200, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629063722
Provider Enumeration Date: 09/14/2005
Last Update Date: 07/25/2025

Medicare PECOS Information:

PECOS PAC ID: 6800184789
Enrollment ID: I20210126002500

Medical Identifiers

Medical identifiers for Dr Jeffrey Carl Pence such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629063722	NPI	-	NPPES
2881645	Medicaid	OH
8912334	Medicaid	NC
12334	Other	NC	BCBS NC
370015118	Other	NC	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	9500178 (North Carolina)	Secondary
2086S0120X	Surgery - Pediatric Surgery	35.092404 (Ohio)	Secondary
2086S0120X	Surgery - Pediatric Surgery	0101277715 (Virginia)	Secondary
2086S0120X	Surgery - Pediatric Surgery	2086S0120X (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 Jeffrey Carl Pence allows following entities to bill medicare on his behalf.

Entity Name	Eastern Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088

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 Jeffrey Carl Pence 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 Jeffrey Carl Pence, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5352	Dr Jeffrey Carl Pence, MD 175 White St Nw Ste 200, Marietta, GA 30060-7901 Ph: (943) 202-7820

Reviews and Comments

Surgery Doctors in Marietta, GA

Dr. Madhavi Jordan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne, Suit 130, Marietta, GA 30060 Phone: 770-428-0462 Fax: 770-427-8001
Dr. Brandon Cy Grinage, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1545 Powers Ferry Rd Se Ste 120, Marietta, GA 30067 Phone: 770-580-0979 Fax: 678-383-6735
Dr. David H. Hafner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 61 Whitcher Street Ne, Suite 2100, Marietta, GA 30060 Phone: 770-423-0595 Fax: 770-874-1614
Julie Marie Duke, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Whitcher St Ne Ste 2100, Marietta, GA 30060 Phone: 770-423-0595
Robert A. Underwood, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 598 Nancy St Nw Ste 250, Marietta, GA 30060 Phone: 770-428-3713 Fax: 770-426-0730
Dr. Daniella Barker Kington, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 130, Marietta, GA 30060 Phone: 770-428-0462
Mary Catherine Goodwin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 702 Canton Rd Ne, Marietta, GA 30060 Phone: 770-428-4486

Dr Jeffrey Carl Pence, MD - Medicare Surgery in Marietta, GA