Dr Michael Anthony Herron, MD - Medicare Internal Medicine in Decatur, GA

Dr Michael Anthony Herron, MD is a medicare enrolled "Internal Medicine" physician in Decatur, Georgia. His current practice location is 1501 Richard Stokes Dr, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 248-1344.

Dr Michael Anthony Herron is licensed to practice in Georgia (license number 38797) 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 1639239825.

Contact Information

Dr Michael Anthony Herron, MD
1501 Richard Stokes Dr,
Decatur, GA 30033
(404) 248-1344
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael Anthony Herron
GenderMale
SpecialityInternal Medicine
Location1501 Richard Stokes Dr, Decatur, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639239825
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 01/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092627273
  • Enrollment ID: I20040505000430

Medical Identifiers

Medical identifiers for Dr Michael Anthony Herron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639239825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 038797 (Georgia)Secondary
207P00000XEmergency Medicine 038797 (Georgia)Secondary
207R00000XInternal Medicine 38797 (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. Dr Michael Anthony Herron allows following entities to bill medicare on his behalf.
Entity NameUnited Emergency Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326007915
PECOS PAC ID: 5799697272
Enrollment ID: O20040819000058

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 Michael Anthony Herron 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
Dr Michael Anthony Herron, MD
861 Sw 78th Ave, Suite # 100-b,
Plantation, FL 33324-3273

Ph: (954) 693-0000
Dr Michael Anthony Herron, MD
1501 Richard Stokes Dr,
Decatur, GA 30033

Ph: (404) 248-1344

Reviews and Comments


Internal Medicine Doctors in Decatur, GA

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Dr. Charles Michael Hart, MD
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Medicare: Medicare Enrolled
Practice Location: 1670 Clairmont Rd, 151-p, Decatur, GA 30033
Phone: 404-321-6111    Fax: 404-728-7750

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.