Miriam P Gwathney, DO - Medicare Family Medicine in Forest Park, GA

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Miriam P Gwathney, DO is a medicare enrolled "Family Medicine" physician in Forest Park, Georgia. Her current practice location is 1057 Main St, Forest Park, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 301-4555.

Miriam P Gwathney is licensed to practice in Georgia (license number 063343) 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 1881698546.

Contact Information

Miriam P Gwathney, DO
1057 Main St,
Forest Park, GA 30297-1482
(404) 301-4555
(404) 301-4482

Map and Direction




Physician's Profile

Full NameMiriam P Gwathney
GenderFemale
SpecialityFamily Medicine
Location1057 Main St, Forest Park, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881698546
  • Provider Enumeration Date: 06/10/2005
  • Last Update Date: 05/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800968025
  • Enrollment ID: I20101214000806

Medical Identifiers

Medical identifiers for Miriam P Gwathney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881698546NPI-NPPES
261406500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS8157 (Georgia)Secondary
207Q00000XFamily Medicine 063343 (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. Miriam P Gwathney allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370
Entity NamePmr Georgia Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609329630
PECOS PAC ID: 8426466590
Enrollment ID: O20210409002172

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. Miriam P Gwathney 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
Miriam P Gwathney, DO
1057 Main St,
Forest Park, GA 30297-1482

Ph: (404) 301-4555		Miriam P Gwathney, DO
1057 Main St,
Forest Park, GA 30297-1482

Ph: (404) 301-4555

Reviews and Comments


Family Medicine Doctors in Forest Park, GA

Dr. Angela Evans, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 871 Forest Pkwy, Forest Park, GA 30297
Phone: 404-608-4979    
Faith Adonis Andrews, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 525 Forest Pkwy, Suite 100, Forest Park, GA 30297
Phone: 678-705-0100    Fax: 678-235-1800

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.