Tracy Ferguson, MD in Clarkston, GA

Tracy Ferguson, MD is a medicare enrolled "Pediatrics" physician in Clarkston, Georgia. Her current practice location is 4112 E Ponce De Leon Ave, Clarkston, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 296-7133.

Tracy Ferguson is licensed to practice in Georgia (license number 054023) 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 1922063734.

Contact Information

	Tracy Ferguson, MD
	4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106
	(404) 296-7133
	(404) 296-7211

Map and Direction

Physician's Profile

Full Name	Tracy Ferguson
Gender	Female
Speciality	Pediatrics
Location	4112 E Ponce De Leon Ave, Clarkston, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922063734
Provider Enumeration Date: 04/18/2006
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 8325464803
Enrollment ID: I20200813003609

Medical Identifiers

Medical identifiers for Tracy Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922063734	NPI	-	NPPES
347582150A	Medicaid	GA
347582150B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	054023 (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. Tracy Ferguson allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Tracy Ferguson 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
Tracy Ferguson, MD 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 Ph: (404) 296-7133	Tracy Ferguson, MD 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 Ph: (404) 296-7133

Reviews and Comments

Pediatrics Doctors in Clarkston, GA

Kimberly M Humphrey Browne, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-501-9744
Dr. Stephanie M Henry, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-296-7211
Dr. Patrice Gibson Chishom, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-289-7133 Fax: 404-289-7211
Sean R Lindsey, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4122 E Ponce De Leon Ave Ste 5, Clarkston, GA 30021 Phone: 470-799-0044 Fax: 470-799-0045
Dr. Ojoru Osunkoya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 E. Ponce De Leon, Clarkston, GA 30021 Phone: 404-296-7133
Keanna L Joseph-clarke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-296-7211

Tracy Ferguson, MD - Medicare Pediatrics in Clarkston, GA