David K Vickers, - Medicare Nurse Practitioner in Adel, GA

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David K Vickers, is a medicare enrolled "Nurse Practitioner - Family" in Adel, Georgia. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southland Consolidated Emergency Services Llc and his current practice location is 103 James St, Adel, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 896-3424.

David K Vickers is licensed to practice in Georgia (license number RN164513) 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 1629518014.

Contact Information

David K Vickers,
103 James St,
Adel, GA 31620-1504
(229) 896-3424
(229) 896-3838

Map and Direction




Provider's Profile

Full NameDavid K Vickers
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location103 James St, Adel, Georgia
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:
  • David K Vickers graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1629518014
  • Provider Enumeration Date: 03/03/2017
  • Last Update Date: 03/03/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3173808276
  • Enrollment ID: I20170331000386

Medical Identifiers

Medical identifiers for David K Vickers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629518014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN164513 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital And ManorBainbridge, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southland Consolidated Emergency Services Llc286079206656

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. David K Vickers allows following entities to bill medicare on his behalf.
Entity NameTift Regional Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790280857
PECOS PAC ID: 5193619971
Enrollment ID: O20040212000064
Entity NameSouthland Emergency Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477701472
PECOS PAC ID: 3779701743
Enrollment ID: O20140904001715
Entity NameSouthland Consolidated Emergency Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174917124
PECOS PAC ID: 2860792066
Enrollment ID: O20151119001289

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. David K Vickers 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
David K Vickers,
907 18th St E, Suite 150,
Tifton, GA 31794-3643

Ph: (229) 353-3450		David K Vickers,
103 James St,
Adel, GA 31620-1504

Ph: (229) 896-3424

Reviews and Comments


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Alexander Warren, FNP-C
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Mrs. Priscilla R Greene, FHNP
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Practice Location: 172 Mj Taylor Rd, Adel, GA 31620
Phone: 229-896-5200    Fax: 229-388-9855
Walter Stone, NP
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Tammy Charlene Carter, FNP-C
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Practice Location: 602 N Hutchinson Ave, Adel, GA 31620
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Melissa Michelle Roberts, FNP-C
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Caroline Hendley, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 172 Mj Taylor Rd, Adel, GA 31620
Phone: 229-896-8500    

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.