Dr Justin Wayde Vickery, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Surgery Of The Spine" physician in Leander, Texas. His current practice location is
10861 183a Toll Rd Ste 1200, Leander, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 439-1009.
Dr Justin Wayde Vickery is licensed to practice in Texas (license number V7311) 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 1770147969.
Physician's Profile
| Full Name | Dr Justin Wayde Vickery |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
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| Location | 10861 183a Toll Rd Ste 1200, Leander, Texas |
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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: 1770147969
- Provider Enumeration Date: 04/24/2019
- Last Update Date: 06/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103363973
- Enrollment ID: I20240730002532
Medical Identifiers
Medical identifiers for Dr Justin Wayde Vickery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770147969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | TP087 (Kentucky) | Secondary |
| 207X00000X | Orthopaedic Surgery | V7311 (Texas) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | V7311 (Texas) | 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 Justin Wayde Vickery allows following entities to bill medicare on his behalf.
| Entity Name | Community Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306983762
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656 |
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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 Justin Wayde Vickery 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 |
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Dr Justin Wayde Vickery, MD
Medical Center East South Tower Suite 4200,
Nashville, TN 37232-0001
Ph: (615) 936-7846 | Dr Justin Wayde Vickery, MD
10861 183a Toll Rd Ste 1200,
Leander, TX 78641-1257
Ph: (512) 439-1009 |
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