Dr Preston Jeremy Sparks, DO is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Thomasville, Georgia. His current practice location is
900 Gordon Ave, Thomasville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 226-0125.
Dr Preston Jeremy Sparks is licensed to practice in Georgia (license number GA69904) 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 1609187889.
Physician's Profile
| Full Name | Dr Preston Jeremy Sparks |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 900 Gordon Ave, Thomasville, Georgia |
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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: 1609187889
- Provider Enumeration Date: 06/23/2010
- Last Update Date: 09/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628378304
- Enrollment ID: I20220906000328
Medical Identifiers
Medical identifiers for Dr Preston Jeremy Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609187889 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 66904 (Georgia) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | GA69904 (Georgia) | 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 Preston Jeremy Sparks allows following entities to bill medicare on his behalf.
| Entity Name | Grady General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013961507
PECOS PAC ID: 7618866518
Enrollment ID: O20040310001254 |
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| Entity Name | Archbold Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831353036
PECOS PAC ID: 8123196383
Enrollment ID: O20081001000632 |
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| Entity Name | Amgir, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538693197
PECOS PAC ID: 6406127612
Enrollment ID: O20170807002109 |
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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 Preston Jeremy Sparks 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 Preston Jeremy Sparks, DO
300 Hospital Road,
Fort Gordon, GA 30905
Ph: () - | Dr Preston Jeremy Sparks, DO
900 Gordon Ave,
Thomasville, GA 31792-6613
Ph: (229) 226-0125 |
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