Katherine Smith Herzog, MD - Medicare Pediatrics in Gainesville, GA

Katherine Smith Herzog, MD is a medicare enrolled "Pediatrics" physician in Gainesville, Georgia. Her current practice location is 725 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 535-3611.

Katherine Smith Herzog is licensed to practice in Georgia (license number 071838) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366603326.

Contact Information

Katherine Smith Herzog, MD
725 Jesse Jewell Pkwy Se,
Gainesville, GA 30501-3834
(770) 535-3611
(770) 535-7092

Map and Direction




Physician's Profile

Full NameKatherine Smith Herzog
GenderFemale
SpecialityPediatrics
Location725 Jesse Jewell Pkwy Se, Gainesville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366603326
  • Provider Enumeration Date: 06/23/2008
  • Last Update Date: 08/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153581764
  • Enrollment ID: I20140820002223

Medical Identifiers

Medical identifiers for Katherine Smith Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366603326NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 30892 (South Carolina)Secondary
208000000XPediatrics ME114990 (Florida)Secondary
208000000XPediatrics 071838 (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. Katherine Smith Herzog allows following entities to bill medicare on her behalf.
Entity NameThe Longstreet Clinic, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326019977
PECOS PAC ID: 2668465733
Enrollment ID: O20040405001521

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. Katherine Smith 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 AddressPractice Location Address
Katherine Smith Herzog, MD
Po Box 658,
Gainesville, GA 30503-0658

Ph: (770) 718-1122
Katherine Smith Herzog, MD
725 Jesse Jewell Pkwy Se,
Gainesville, GA 30501-3834

Ph: (770) 535-3611

Reviews and Comments


Pediatrics Doctors in Gainesville, GA

Cynthia Aracelly Cabrera, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-533-6645    Fax: 770-535-2642
Dr. Kelly Miller Lathem, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 200 S Enota Dr Ne, Suite 150, Gainesville, GA 30501
Phone: 770-534-5255    Fax: 770-287-3871
Heather D Butler, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501
Phone: 770-534-5255    Fax: 770-287-3871
Nancy Ellen Johnson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-535-3611    Fax: 770-535-7092
John V Glisson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-535-3611    Fax: 770-535-7092
Dr. Varachati Soodjinda, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 592 Medical Park Dr, Suite A, Gainesville, GA 30501
Phone: 770-374-0068    
Megan Joyce Farley, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 770-535-3611    Fax: 770-535-7092

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.