MARJORIE DRIESE PA-C
NPI 1417207903
Physician Assistant in Marietta, GA
About Marjorie Driese Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARJORIE DRIESE PA-C (NPI 1417207903) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (5923) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marjorie Driese Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30060
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marjorie Driese's NPI number?
The NPI number for Marjorie Driese is 1417207903. It was assigned to this individual provider in the NPPES registry on September 12, 2012.
Where is Marjorie Driese located?
Marjorie Driese practices at 805 Campbell Hill St NW, Marietta, GA 30060. The listed phone number is (404) 756-6866.
What is Marjorie Driese's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Marjorie Driese enrolled in Medicare?
Yes. Marjorie Driese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Marjorie Driese was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marjorie Driese, PA-C · NPI 1417207903
Physician Assistant physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since September 12, 2012.
## Identity
- **NPI:** 1417207903 (Entity type: Individual)
- **Enumerated:** September 12, 2012
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 5923 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 805 CAMPBELL HILL ST NW, Marietta, GA 30060-1144
- **Phone:** (404) 756-6866
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 9, 2014
- **Other identifiers:** Medicaid 003140769C (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1417207903) · Data from the CMS NPPES public registry.