Dr Jennifer Michelle Pugliese, MD is a medicare enrolled "Urology" physician in Fort Gordon, Georgia. Her current practice location is
300 W Hospital Rd, Fort Gordon, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 787-2862.
Dr Jennifer Michelle Pugliese is licensed to practice in Nebraska (license number 23111) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710959689.
Physician's Profile
| Full Name | Dr Jennifer Michelle Pugliese |
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| Gender | Female |
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| Speciality | Urology |
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| Location | 300 W Hospital Rd, Fort Gordon, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710959689
- Provider Enumeration Date: 02/06/2006
- Last Update Date: 06/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 2264621226
- Enrollment ID: I20240926001520
Medical Identifiers
Medical identifiers for Dr Jennifer Michelle Pugliese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710959689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 23111 (Nebraska) | 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. Dr Jennifer Michelle Pugliese allows following entities to bill medicare on her behalf.
| Entity Name | Au Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188 |
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| Entity Name | Archbold Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831353036
PECOS PAC ID: 8123196383
Enrollment ID: O20081001000632 |
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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. Dr Jennifer Michelle Pugliese 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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Dr Jennifer Michelle Pugliese, MD
300 Hospital Road, Urology Clinic,
Apo, AA 30905-5650
Ph: () - | Dr Jennifer Michelle Pugliese, MD
300 W Hospital Rd,
Fort Gordon, GA 30905-5741
Ph: (706) 787-2862 |
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