Jacob Alexander Mills, is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Mountain Home, Tennessee. His current practice location is
Corner Of Lamont & Veterans Way, Mountain Home, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 926-1171.
Jacob Alexander Mills is licensed to practice in North Carolina (license number 2017-00430) 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 1457596702.
Physician's Profile
| Full Name | Jacob Alexander Mills |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | Corner Of Lamont & Veterans Way, Mountain Home, 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: 1457596702
- Provider Enumeration Date: 12/15/2008
- Last Update Date: 03/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365692720
- Enrollment ID: I20170914002098
Medical Identifiers
Medical identifiers for Jacob Alexander Mills such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457596702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | MD.32772 (Alabama) | Secondary |
| 207L00000X | Anesthesiology | 076029 (Georgia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 2017-00430 (North Carolina) | 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. Jacob Alexander Mills allows following entities to bill medicare on his behalf.
| Entity Name | Medstream Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20140304001209 |
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| Entity Name | Dlp Western Carolina Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609281641
PECOS PAC ID: 9032338975
Enrollment ID: O20140908002531 |
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| Entity Name | Morganton Anesthesia Partners, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346828878
PECOS PAC ID: 7416357801
Enrollment ID: O20210607000324 |
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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. Jacob Alexander Mills 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 |
|---|
Jacob Alexander Mills,
296 Cardinal Ln,
Waynesville, NC 28786-8135
Ph: (706) 254-9177 | Jacob Alexander Mills,
Corner Of Lamont & Veterans Way,
Mountain Home, TN 37684
Ph: (423) 926-1171 |
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