Cornelius Jefferson Mance, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Hixson, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1973 and has 51 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Prime Imaging, Llc, Northgate Neurology, Pllc and his current practice location is
2051 Hamill Rd, Ste 302, Hixson, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 877-1212.
Cornelius Jefferson Mance is licensed to practice in Tennessee (license number MD8554) 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 1861586331.
Physician's Profile
Full Name | Cornelius Jefferson Mance |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 51 Years |
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Location | 2051 Hamill Rd, Hixson, Tennessee |
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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. |
Medical Education and Training:
- Cornelius Jefferson Mance attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1973
NPI Data:
- NPI Number: 1861586331
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 09/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608967237
- Enrollment ID: I20080808000567
Medical Identifiers
Medical identifiers for Cornelius Jefferson Mance such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861586331 | NPI | - | NPPES |
3074846 | Other | TN | BLUECROSS / BLUESHIELD |
3046304 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | MD8554 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Prime Imaging, Llc | 4789639311 | 16 |
Northgate Neurology, Pllc | 6901997535 | 3 |
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. Cornelius Jefferson Mance allows following entities to bill medicare on his behalf.
Entity Name | Prime Imaging, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548289507 PECOS PAC ID: 4789639311 Enrollment ID: O20050316001029 |
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Entity Name | Northgate Neurology, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235355744 PECOS PAC ID: 6901997535 Enrollment ID: O20070810000171 |
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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. Cornelius Jefferson Mance 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 |
Cornelius Jefferson Mance, MD 2051 Hamill Rd, Suite 302, Hixson, TN 37343 Ph: (423) 877-1212 | Cornelius Jefferson Mance, MD 2051 Hamill Rd, Ste 302, Hixson, TN 37343-6614 Ph: (423) 877-1212 |
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