Jack Anthony Miceli, NP-C - Medicare Nurse Practitioner in Rome, GA

Jack Anthony Miceli, NP-C is a medicare enrolled "Nurse Practitioner" in Rome, Georgia. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Harbin Clinic Llc and his current practice location is 1825 Martha Berry Blvd Nw, Rome, Georgia. You can reach out to his office (for appointments etc.) via phone at (762) 235-1470.

Jack Anthony Miceli is licensed to practice in Georgia (license number RN242971) 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 1821623232.

Contact Information

Jack Anthony Miceli, NP-C
1825 Martha Berry Blvd Nw,
Rome, GA 30165-1625
(762) 235-1470
(706) 238-8081

Map and Direction




Provider's Profile

Full NameJack Anthony Miceli
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location1825 Martha Berry Blvd Nw, Rome, 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:
  • Jack Anthony Miceli graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1821623232
  • Provider Enumeration Date: 03/05/2020
  • Last Update Date: 10/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305275439
  • Enrollment ID: I20200410001201

Medical Identifiers

Medical identifiers for Jack Anthony Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821623232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN242971 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Harbin Clinic Llc0446154231257

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. Jack Anthony Miceli allows following entities to bill medicare on his behalf.
Entity NameHarbin Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679599088
PECOS PAC ID: 0446154231
Enrollment ID: O20031124000117

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. Jack Anthony Miceli 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
Jack Anthony Miceli, NP-C
221 Technology Pkwy Nw,
Rome, GA 30165-1369

Ph: (762) 235-1000
Jack Anthony Miceli, NP-C
1825 Martha Berry Blvd Nw,
Rome, GA 30165-1625

Ph: (762) 235-1470

Reviews and Comments


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Jill Marie Jewett, FNP-C
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Practice Location: 1825 Martha Berry Blvd Nw, Rome, GA 30165
Phone: 762-235-2100    Fax: 706-236-6432

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.