Jack Bradley Royal, MD - Medicare Anesthesiology in Cordele, GA

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Jack Bradley Royal, MD is a medicare enrolled "Anesthesiology" physician in Cordele, Georgia. He is a member of the group practice Ams Southeast Llc and his current practice location is 902 N 7th St, Cordele, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 276-3100.

Jack Bradley Royal is licensed to practice in Florida (license number TRN17253) 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 1134483878.

Contact Information

Jack Bradley Royal, MD
902 N 7th St,
Cordele, GA 31015-3234
(229) 276-3100
Not Available

Map and Direction




Physician's Profile

Full NameJack Bradley Royal
GenderMale
SpecialityAnesthesiology
Location902 N 7th St, Cordele, 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 Bradley Royal attended and graduated from Medical College Of Georgia School Of Medicine in
  NPI Data:
  • NPI Number: 1134483878
  • Provider Enumeration Date: 06/27/2012
  • Last Update Date: 03/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5597993691
  • Enrollment ID: I20161031000047

Medical Identifiers

Medical identifiers for Jack Bradley Royal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134483878NPI-NPPES
003180038CMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology TRN17253 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crisp Regional HospitalCordele, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ams Southeast Llc387088079283

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 Bradley Royal allows following entities to bill medicare on his behalf.
Entity NameCrisp Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700851649
PECOS PAC ID: 5991616336
Enrollment ID: O20040107000032
Entity NameSouth Georgia Anesthesia Associates, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285605733
PECOS PAC ID: 1759349830
Enrollment ID: O20041221000350
Entity NameAms Southeast LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487107157
PECOS PAC ID: 3870880792
Enrollment ID: O20160921000551

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 Bradley Royal 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 Bradley Royal, MD
307 E 3rd Ave,
Cordele, GA 31015-3208

Ph: (229) 271-4656		Jack Bradley Royal, MD
902 N 7th St,
Cordele, GA 31015-3234

Ph: (229) 276-3100

Reviews and Comments


Anesthesiology Doctors in Cordele, GA

Dr. Don T Smith Jr., MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 415 E 4th Ave Ste B, Cordele, GA 31015
Phone: 229-391-2910    Fax: 229-386-4770
Dr. Marion O Lee Jr., MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 910 N 5th St, Suite D, Cordele, GA 31015
Phone: 229-391-2910    Fax: 229-386-4770

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.