Thomas Michael Amburgey, MD is a medicare enrolled "General Practice" physician in Jesup, Georgia. His current practice location is
244 Peachtree St, Jesup, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 427-9338.
Thomas Michael Amburgey is licensed to practice in Georgia (license number 031378) 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 1841254976.
Physician's Profile
| Full Name | Thomas Michael Amburgey |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 244 Peachtree St, Jesup, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841254976
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 02/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 1658409420
- Enrollment ID: I20100514000782
Medical Identifiers
Medical identifiers for Thomas Michael Amburgey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841254976 | NPI | - | NPPES |
| 031378 | Other | GA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 031378 (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. Thomas Michael Amburgey allows following entities to bill medicare on his behalf.
| Entity Name | Pineland Mhmrsa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588735252 PECOS PAC ID: 6002898616 Enrollment ID: O20040607000175 |
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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. Thomas Michael Amburgey 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 |
Thomas Michael Amburgey, MD Po Box 745, Statesboro, GA 30459-0745 Ph: (912) 764-6906 | Thomas Michael Amburgey, MD 244 Peachtree St, Jesup, GA 31545-0212 Ph: (912) 427-9338 |
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