Justin Meredith, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cub Run, Kentucky. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ipc Pac Healthcare Services Of Tennessee Pc, Kentucky Post-acute Medical Services 1 Psc and his current practice location is
424 Gap Hill Rd, Cub Run, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 784-0194.
Justin Meredith is licensed to practice in Tennessee (license number 56994) 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 1033733605.
Provider's Profile
| Full Name | Justin Meredith |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 424 Gap Hill Rd, Cub Run, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Justin Meredith graduated from nursing school in 2020
NPI Data:
- NPI Number: 1033733605
- Provider Enumeration Date: 05/29/2020
- Last Update Date: 05/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991115487
- Enrollment ID: I20201112001744
Medical Identifiers
Medical identifiers for Justin Meredith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033733605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 56994 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ipc Pac Healthcare Services Of Tennessee Pc | 0840587572 | 73 |
| Kentucky Post-acute Medical Services 1 Psc | 9234471426 | 18 |
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. Justin Meredith allows following entities to bill medicare on his behalf.
| Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104277656
PECOS PAC ID: 0840587572
Enrollment ID: O20160928000541 |
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| Entity Name | Nv Pacs 2 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263 |
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| Entity Name | Cs Pacs 3 Southeast Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154104958
PECOS PAC ID: 8426404302
Enrollment ID: O20231206003761 |
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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. Justin Meredith 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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Justin Meredith,
424 Gap Hill Rd,
Cub Run, KY 42729-9338
Ph: (270) 784-0194 | Justin Meredith,
424 Gap Hill Rd,
Cub Run, KY 42729-9338
Ph: (270) 784-0194 |
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