Gary M Dutka, PA-C - Medicare Physician Assistant in Saint Marys, GA

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Gary M Dutka, PA-C is a medicare enrolled "Physician Assistant - Medical" in Saint Marys, Georgia. He graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ergent Med Prime and his current practice location is 2000 Dan Proctor Dr, Saint Marys, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 466-7000.

Gary M Dutka is licensed to practice in Georgia (license number 004291) 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 1902871445.

Contact Information

Gary M Dutka, PA-C
2000 Dan Proctor Dr,
Saint Marys, GA 31558-3810
(912) 466-7000
(919) 477-5470

Map and Direction




Provider's Profile

Full NameGary M Dutka
GenderMale
SpecialityPhysician Assistant
Experience22 Years
Location2000 Dan Proctor Dr, Saint Marys, 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:
  • Gary M Dutka graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1902871445
  • Provider Enumeration Date: 02/20/2006
  • Last Update Date: 08/06/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5991779795
  • Enrollment ID: I20040825001217

Medical Identifiers

Medical identifiers for Gary M Dutka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902871445NPI-NPPES
256737965AMedicaidGA
01157750OtherGAAMERIGROUP
256737965DMedicaidGA
256737965CMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 004291 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ergent Med Prime88203621896

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. Gary M Dutka allows following entities to bill medicare on his behalf.
Entity NameGeorgia Emergency Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528098290
PECOS PAC ID: 1052216389
Enrollment ID: O20031201000427
Entity NameEmergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477001972
PECOS PAC ID: 7911811435
Enrollment ID: O20161012000482
Entity NameErgent Med Prime
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811345390
PECOS PAC ID: 8820362189
Enrollment ID: O20170925003644

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. Gary M Dutka 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
Gary M Dutka, PA-C
Po Box 15385,
Durham, NC 27704-0385

Ph: (919) 477-5152		Gary M Dutka, PA-C
2000 Dan Proctor Dr,
Saint Marys, GA 31558-3810

Ph: (912) 466-7000

Reviews and Comments


Physician Assistant Nurses in Saint Marys, GA

Natalie Bennett Yonz,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2060 Dan Proctor Dr Ste 2100, Saint Marys, GA 31558
Phone: 912-882-6767    
Patrick Davidson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 314 Millers Branch Dr, Saint Marys, GA 31558
Phone: 774-413-0331    
William Matthew Crook, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2060 Dan Proctor Dr Ste 1400, Saint Marys, GA 31558
Phone: 912-576-6355    
Samuel Taylor, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Dan Proctor Dr, Saint Marys, GA 31558
Phone: 912-576-6200    Fax: 919-477-5474
Meredith Brazell, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2060 Dan Proctor Dr Ste 2100, Saint Marys, GA 31558
Phone: 912-264-1520    Fax: 912-264-1526
Natalie Wood Brace, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 309 Arnow Dr, Saint Marys, GA 31558
Phone: 904-321-2422    Fax: 833-578-1808
Mrs. Stephanie Delphine Parris, P.A.-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2603 Osborne Rd Ste E, Saint Marys, GA 31558
Phone: 770-627-2675    

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.