Jerry Allen Spivey Jr, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Greensboro, Georgia. His current practice location is
1030 Founders Row, Greensboro, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 433-0723.
Jerry Allen Spivey Jr is licensed to practice in Georgia (license number 65063) 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 1538369343.
Physician's Profile
| Full Name | Jerry Allen Spivey Jr |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1030 Founders Row, Greensboro, 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: 1538369343
- Provider Enumeration Date: 07/19/2007
- Last Update Date: 02/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 8123292802
- Enrollment ID: I20111115000078
Medical Identifiers
Medical identifiers for Jerry Allen Spivey Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538369343 | NPI | - | NPPES |
| 003115310C | Medicaid | GA | |
| 003115310B | Medicaid | GA | |
| 003115310E | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 065063 (Georgia) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 065063 (Georgia) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 65063 (Georgia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 65063 (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. Jerry Allen Spivey Jr allows following entities to bill medicare on his behalf.
| Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801843933
PECOS PAC ID: 1557256393
Enrollment ID: O20040219000488 |
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| Entity Name | Professional Resources Management Of Rabun Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326191180
PECOS PAC ID: 1052342854
Enrollment ID: O20050822000836 |
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| Entity Name | Sentry Anesthesia Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571 |
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| Entity Name | Premier Anesthesia Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811403207
PECOS PAC ID: 6608123724
Enrollment ID: O20180720001402 |
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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. Jerry Allen Spivey Jr 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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Jerry Allen Spivey Jr, MD
Po Box 80883,
Athens, GA 30608-0883
Ph: (706) 549-8114 | Jerry Allen Spivey Jr, MD
1030 Founders Row,
Greensboro, GA 30642
Ph: (706) 433-0723 |
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