Phillip Hardy Nunnery, M D is a medicare enrolled "Plastic Surgery" physician in Panama City, Florida. His current practice location is
1936 Jenks Ave, Panama City, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 763-5959.
Phillip Hardy Nunnery is licensed to practice in Florida (license number ME36299) 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 1588747471.
Physician's Profile
| Full Name | Phillip Hardy Nunnery |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 1936 Jenks Ave, Panama City, Florida |
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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: 1588747471
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 12/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 4587833702
- Enrollment ID: I20110804000336
Medical Identifiers
Medical identifiers for Phillip Hardy Nunnery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588747471 | NPI | - | NPPES |
| 048088600 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | ME36299 (Florida) | 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. Phillip Hardy Nunnery allows following entities to bill medicare on his behalf.
| Entity Name | Sacred Heart Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962453308
PECOS PAC ID: 3779491386
Enrollment ID: O20051015000049 |
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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. Phillip Hardy Nunnery 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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Phillip Hardy Nunnery, M D
1936 Jenks Ave,
Panama City, FL 32405-4528
Ph: (850) 763-5959 | Phillip Hardy Nunnery, M D
1936 Jenks Ave,
Panama City, FL 32405-4528
Ph: (850) 763-5959 |
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