Dr Jerry Tee Todd, MD - Medicare Anesthesiology in Kennesaw, GA

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Dr Jerry Tee Todd, MD is a medicare enrolled "Anesthesiology" physician in Kennesaw, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Mak Anesthesia Holdings, Llc and his current practice location is 1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 634-4215.

Dr Jerry Tee Todd is licensed to practice in Georgia (license number 76501) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1699041863.

Contact Information

Dr Jerry Tee Todd, MD
1300 Ridenour Blvd Nw Ste 300,
Kennesaw, GA 30152-4402
(770) 634-4215
Not Available

Map and Direction




Physician's Profile

Full NameDr Jerry Tee Todd
GenderMale
SpecialityAnesthesiology
Experience13 Years
Location1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jerry Tee Todd attended and graduated from Medical College Of Georgia School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1699041863
  • Provider Enumeration Date: 03/31/2012
  • Last Update Date: 03/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4082999115
  • Enrollment ID: I20170331001697

Medical Identifiers

Medical identifiers for Dr Jerry Tee Todd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699041863NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology MD.35302 (Alabama)Secondary
207L00000XAnesthesiology 76501 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mak Anesthesia Holdings, Llc4284917204167

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 Jerry Tee Todd allows following entities to bill medicare on his behalf.
Entity NameMountainside Anesthesia Consultants, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346327152
PECOS PAC ID: 2365430899
Enrollment ID: O20040504000685
Entity NameNorthlake Anesthesia Professionals,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982637419
PECOS PAC ID: 2769471796
Enrollment ID: O20040506001031
Entity NameCapitol Anesthesiology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245287192
PECOS PAC ID: 5799774642
Enrollment ID: O20040507000216
Entity NameAmsol Physicians Of Columbus Ga Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114010584
PECOS PAC ID: 2567427495
Enrollment ID: O20041119000765
Entity NameAmsol Anesthetists Of Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649224775
PECOS PAC ID: 5193780955
Enrollment ID: O20041122000580
Entity NameAmsol Physicians Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134350531
PECOS PAC ID: 1557496783
Enrollment ID: O20100312000866
Entity NameAmbulatory Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851799373
PECOS PAC ID: 9931401858
Enrollment ID: O20160111000407
Entity NameMak Anesthesia Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563
Entity NameMak Anesthesia Northside Affiliates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609390103
PECOS PAC ID: 7315203718
Enrollment ID: O20171116002499
Entity NameRadius Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861996225
PECOS PAC ID: 2567897127
Enrollment ID: O20200109000552
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20200508002106

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 Jerry Tee Todd 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 AddressPractice Location Address
Dr Jerry Tee Todd, MD
3999 Matty Dr Ne,
Marietta, GA 30066-1113

Ph: (770) 634-4215		Dr Jerry Tee Todd, MD
1300 Ridenour Blvd Nw Ste 300,
Kennesaw, GA 30152-4402

Ph: (770) 634-4215

Reviews and Comments


Anesthesiology Doctors in Kennesaw, GA

Russell H Blocker, PAAA
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 678-290-0479
Walter H Butler, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 770-590-1442
Melody Bolton,
Anesthesiology
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152
Phone: 985-722-7993    
Dr. Grant Adam Doornbos, M.D.
Anesthesiology
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152
Phone: 770-702-1806    
James Michael Ditolla, D.O.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1275 Shiloh Rd Nw Ste 2120, Kennesaw, GA 30144
Phone: 631-671-1194    
Edward T Scruggs, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 770-590-1442
Dr. Isabella Zita Ricketts, M.D.
Anesthesiology
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Ridenour Blvd Nw, Mak Anesthesia, Kennesaw, GA 30152
Phone: 770-702-1806    Fax: 770-693-0810

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.