Dr Jose Garrido, MD is a medicare enrolled "Internal Medicine" physician in Bulls Gap, Tennessee. His current practice location is
273 Highway 11 E, Bulls Gap, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 393-4146.
Dr Jose Garrido is licensed to practice in Tennessee (license number MD0039603) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982640140.
Physician's Profile
| Full Name | Dr Jose Garrido |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 273 Highway 11 E, Bulls Gap, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982640140
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 09/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416987144
- Enrollment ID: I20050812000732
Medical Identifiers
Medical identifiers for Dr Jose Garrido such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982640140 | NPI | - | NPPES |
| 3332506 | Medicaid | TN | |
| 3332507 | Medicaid | TN | |
| 010186285 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RA0401X | Internal Medicine - Addiction Medicine | 39603 (Tennessee) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 39603 (Tennessee) | Secondary |
| 208M00000X | Hospitalist | 39603 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | MD0039603 (Tennessee) | 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. Dr Jose Garrido allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571 |
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| Entity Name | Emmaus Medical And Counseling, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598256117
PECOS PAC ID: 1153673389
Enrollment ID: O20181016002174 |
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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. Dr Jose Garrido 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 |
|---|
Dr Jose Garrido, MD
273 Highway 11 E,
Bulls Gap, TN 37711-3433
Ph: (423) 393-4146 | Dr Jose Garrido, MD
273 Highway 11 E,
Bulls Gap, TN 37711-3433
Ph: (423) 393-4146 |
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