Mr Jack Willard Carey Iii, MD - Medicare Hospitalist in Hartsville, TN

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Mr Jack Willard Carey Iii, MD is a medicare enrolled "Internal Medicine" physician in Hartsville, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Cookeville Hospitalist Group Pllc and his current practice location is 220 Broadway, Hartsville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 374-2101.

Mr Jack Willard Carey Iii is licensed to practice in Tennessee (license number 45627) 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 1265657951.

Contact Information

Mr Jack Willard Carey Iii, MD
220 Broadway,
Hartsville, TN 37074-1304
(615) 374-2101
Not Available

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Physician's Profile

Full NameMr Jack Willard Carey Iii
GenderMale
SpecialityHospitalist
Experience18 Years
Location220 Broadway, Hartsville, Tennessee
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:
  • Mr Jack Willard Carey Iii attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2007
  NPI Data:
  • NPI Number: 1265657951
  • Provider Enumeration Date: 04/16/2007
  • Last Update Date: 03/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9133307440
  • Enrollment ID: I20110708000312

Medical Identifiers

Medical identifiers for Mr Jack Willard Carey Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265657951NPI-NPPES
7100177760MedicaidKY
1523209MedicaidTN
4352344OtherTNBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 45627 (Tennessee)Secondary
208M00000XHospitalist 45627 (Tennessee)Secondary
207R00000XInternal Medicine 45627 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cookeville Regional Medical CenterCookeville, TNHospital
Livingston Regional HospitalLivingston, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cookeville Hospitalist Group Pllc125479428255

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. Mr Jack Willard Carey Iii allows following entities to bill medicare on his behalf.
Entity NameCookeville Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023397031
PECOS PAC ID: 7810805736
Enrollment ID: O20040921001310
Entity NameApp Of Tennessee Hm, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088
Entity NameCookeville Hospitalist Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467133371
PECOS PAC ID: 1254794282
Enrollment ID: O20230824000235

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. Mr Jack Willard Carey Iii 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
Mr Jack Willard Carey Iii, MD
220 Broadway,
Hartsville, TN 37074-1304

Ph: (615) 374-2101		Mr Jack Willard Carey Iii, MD
220 Broadway,
Hartsville, TN 37074-1304

Ph: (615) 374-2101

Reviews and Comments


Internal Medicine Doctors in Hartsville, TN

Aubrey A. Lamptey, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 502 Church St, Hartsville, TN 37074
Phone: 615-374-4371    

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.