Joseph J Gaines Jr, MD - Medicare Pathology in Athens, GA

Joseph J Gaines Jr, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Athens, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Pathology And Laboratory Consultants Of Athens Llc and his current practice location is 1230 Baxter St, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 389-2425.

Joseph J Gaines Jr is licensed to practice in Georgia (license number 028550) 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 1003882036.

Contact Information

Joseph J Gaines Jr, MD
1230 Baxter St,
Athens, GA 30606
(706) 389-2425
(706) 389-2426

Map and Direction




Physician's Profile

Full NameJoseph J Gaines Jr
GenderMale
SpecialityPathology
Experience40 Years
Location1230 Baxter St, Athens, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Joseph J Gaines Jr attended and graduated from Medical College Of Georgia School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1003882036
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 08/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0648446310
  • Enrollment ID: I20111229000636

Medical Identifiers

Medical identifiers for Joseph J Gaines Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003882036NPI-NPPES
00382434BMedicaidGA
220019464OtherGARAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 028550 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary's HospitalAthens, GAHospital
Piedmont Athens Regional Medical CenterAthens, GAHospital
St. Mary's Good Samaritan HospitalGreensboro, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pathology And Laboratory Consultants Of Athens Llc94361209462

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. Joseph J Gaines Jr allows following entities to bill medicare on his behalf.
Entity NamePathology And Laboratory Consultants Of Athens Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861460248
PECOS PAC ID: 9436120946
Enrollment ID: O20040805001074

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. Joseph J Gaines Jr 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
Joseph J Gaines Jr, MD
Po Box 491270,
Lawrenceville, GA 30049

Ph: (770) 237-4500
Joseph J Gaines Jr, MD
1230 Baxter St,
Athens, GA 30606

Ph: (706) 389-2425

Reviews and Comments


Pathology Doctors in Athens, GA

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Dr. Daniel W. Tench, M.D.
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Dr. Stephen Legrande Aleshire, M.D.
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Practice Location: 1199 Prince Ave, Athens, GA 30606
Phone: 706-475-3398    Fax: 706-475-6796

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.