Howard N Caplan, MD - Medicare Pediatrics in Milledgeville, GA

Howard N Caplan, MD is a medicare enrolled "Pediatrics" physician in Milledgeville, Georgia. His current practice location is 1371 Orchard Hill Rd, Milledgeville, Georgia. You can reach out to his office (for appointments etc.) via phone at (478) 445-5120.

Howard N Caplan is licensed to practice in Georgia (license number 015916) 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 1477565463.

Contact Information

Howard N Caplan, MD
1371 Orchard Hill Rd,
Milledgeville, GA 31061-2551
(478) 445-5120
Not Available

Map and Direction




Physician's Profile

Full NameHoward N Caplan
GenderMale
SpecialityPediatrics
Location1371 Orchard Hill Rd, Milledgeville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477565463
  • Provider Enumeration Date: 08/12/2006
  • Last Update Date: 03/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5193863884
  • Enrollment ID: I20091118000255

Medical Identifiers

Medical identifiers for Howard N Caplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477565463NPI-NPPES
000088536DMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD062842L (Pennsylvania)Secondary
208000000XPediatrics 042-0009783 (Vermont)Secondary
208000000XPediatrics 015916 (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. Howard N Caplan allows following entities to bill medicare on his behalf.
Entity NameDepartment Of Behavioral Health And Developmental Disabilities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902030307
PECOS PAC ID: 7416002506
Enrollment ID: O20090825000435
Entity NameOconee Community Service Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295922128
PECOS PAC ID: 1052392446
Enrollment ID: O20100812000021

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. Howard N Caplan 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
Howard N Caplan, MD
Po Box 1827,
Milledgeville, GA 31059-1827

Ph: (478) 445-4971
Howard N Caplan, MD
1371 Orchard Hill Rd,
Milledgeville, GA 31061-2551

Ph: (478) 445-5120

Reviews and Comments


Pediatrics Doctors in Milledgeville, GA

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Dr. Marshall Wright Ivey Ii, M.D.
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Phone: 478-453-9383    

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).

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