Jo Lynne Herzog, MD is a medicare enrolled "Dermatology" physician in Vestavia Hills, Alabama. She graduated from medical school in 1984 and has 42 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Alabama Skin Cancer And Aesthetic Center Llc, Brookwood Dermatology Pc and her current practice location is
1360 Montgomery Hwy Ste 114, Vestavia Hills, Alabama. You can reach out to her office (for appointments etc.) via phone at
(053) 790-9002.
Jo Lynne Herzog is licensed to practice in Alabama (license number 00013828) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295828309.
Physician's Profile
| Full Name | Jo Lynne Herzog |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 42 Years |
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| Location | 1360 Montgomery Hwy Ste 114, Vestavia Hills, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jo Lynne Herzog graduated from medical school in 1984
NPI Data:
- NPI Number: 1295828309
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 04/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335031681
- Enrollment ID: I20040330000139
Medical Identifiers
Medical identifiers for Jo Lynne Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295828309 | NPI | - | NPPES |
| 515-12103 | Other | AL | BC BS OF AL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 00013828 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Alabama Skin Cancer And Aesthetic Center Llc | 1153850607 | 4 |
| Brookwood Dermatology Pc | 4284523069 | 6 |
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. Jo Lynne Herzog allows following entities to bill medicare on her behalf.
| Entity Name | Brookwood Dermatology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487663266 PECOS PAC ID: 4284523069 Enrollment ID: O20040311000242 |
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| Entity Name | Alabama Skin Cancer & Aesthetic Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508673773 PECOS PAC ID: 1153850607 Enrollment ID: O20250128004258 |
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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. Jo Lynne Herzog 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 |
Jo Lynne Herzog, MD 1360 Montgomery Hwy Ste 114, Vestavia Hills, AL 35216-2750 Ph: (205) 379-0900 | Jo Lynne Herzog, MD 1360 Montgomery Hwy Ste 114, Vestavia Hills, AL 35216-2750 Ph: (053) 790-9002 |
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