Dr John A Fountain, MD is a medicare enrolled "Dermatology" physician in Conyers, Georgia. He went to Emory University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Georgia Dermatology And Skin Cancer Center, Llc and his current practice location is
1349 Milstead Rd Ne, Conyers, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 922-1716.
Dr John A Fountain is licensed to practice in Georgia (license number 021688) 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 1629076906.
Physician's Profile
| Full Name | Dr John A Fountain |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 45 Years |
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| Location | 1349 Milstead Rd Ne, Conyers, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John A Fountain attended and graduated from Emory University School Of Medicine in 1979
NPI Data:
- NPI Number: 1629076906
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 04/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 9638199359
- Enrollment ID: I20051128000039
Medical Identifiers
Medical identifiers for Dr John A Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629076906 | NPI | - | NPPES |
| 531562 | Other | GA | BCBS OF GA |
| 00263051C | Medicaid | GA | |
| 070007907 | Other | GA | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 021688 (Georgia) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 021688 (Georgia) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 021688 (Georgia) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 021688 (Georgia) | Secondary |
| 208D00000X | General Practice | 021688 (Georgia) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 021688 (Georgia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Georgia Dermatology And Skin Cancer Center, Llc | 7113980855 | 48 |
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 John A Fountain allows following entities to bill medicare on his behalf.
| Entity Name | Georgia Dermatology & Skin Cancer Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063460459
PECOS PAC ID: 7113980855
Enrollment ID: O20041104000512 |
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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 John A Fountain 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 John A Fountain, MD
2400 Bellevue Rd, Suite 21-a,
Dublin, GA 31021-2885
Ph: (478) 275-7202 | Dr John A Fountain, MD
1349 Milstead Rd Ne,
Conyers, GA 30012-3871
Ph: (770) 922-1716 |
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