Charles M Spivey, MD is a medicare enrolled "Orthopaedic Surgery" physician in Vidalia, Georgia. He went to Emory University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Mark Spivey Orthopedic Clinic Llc and his current practice location is
3301 First Street East, Suite A, Vidalia, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 537-4411.
Charles M Spivey is licensed to practice in Georgia (license number 047846) 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 1861486862.
Physician's Profile
| Full Name | Charles M Spivey |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 26 Years |
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| Location | 3301 First Street East, Vidalia, Georgia |
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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:
- Charles M Spivey attended and graduated from Emory University School Of Medicine in 1998
NPI Data:
- NPI Number: 1861486862
- Provider Enumeration Date: 09/06/2005
- Last Update Date: 07/27/2010
Medicare PECOS Information:
- PECOS PAC ID: 1658323605
- Enrollment ID: I20050218000055
Medical Identifiers
Medical identifiers for Charles M Spivey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861486862 | NPI | - | NPPES |
| 501468518E | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 047846 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mark Spivey Orthopedic Clinic Llc | 5395797336 | 8 |
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. Charles M Spivey allows following entities to bill medicare on his behalf.
| Entity Name | Mark Spivey Orthopedic Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104017821
PECOS PAC ID: 5395797336
Enrollment ID: O20050217000531 |
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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. Charles M Spivey 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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Charles M Spivey, MD
3301 First Street East, Suite A,
Vidalia, GA 30474
Ph: (912) 537-4411 | Charles M Spivey, MD
3301 First Street East, Suite A,
Vidalia, GA 30474
Ph: (912) 537-4411 |
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