Dr Jerry Samuel Givens, MD is a medicare enrolled "Urology" physician in Branson, Missouri. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Urology. He is a member of the group practice Lester E Cox Medical Centers and his current practice location is
525 Branson Landing Blvd, Ferrell Duncan Clinic Urology (suite 307), Branson, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 335-7736.
Dr Jerry Samuel Givens is licensed to practice in Missouri (license number MDR9B09) 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 1164462412.
Physician's Profile
| Full Name | Dr Jerry Samuel Givens |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 44 Years |
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| Location | 525 Branson Landing Blvd, Branson, Missouri |
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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:
- Dr Jerry Samuel Givens attended and graduated from University Of Missouri, Columbia School Of Medicine in 1980
NPI Data:
- NPI Number: 1164462412
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 02/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 6103904578
- Enrollment ID: I20080425000092
Medical Identifiers
Medical identifiers for Dr Jerry Samuel Givens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164462412 | NPI | - | NPPES |
| 1164462412 | Medicaid | MO | |
| 14360 | Other | MO | BLUE SHIELD |
| 202355806 | Medicaid | MO | |
| 431662735 | Other | MO | TRICARE |
| 152379001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | MDR9B09 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lester E Cox Medical Centers | 1658509864 | 34 |
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 Jerry Samuel Givens allows following entities to bill medicare on his behalf.
| Entity Name | Lester E Cox Medical Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174952212
PECOS PAC ID: 1658509864
Enrollment ID: O20140115001602 |
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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 Jerry Samuel Givens 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 Jerry Samuel Givens, MD
Po Box 9007,
Springfield, MO 65808-9007
Ph: (417) 875-3000 | Dr Jerry Samuel Givens, MD
525 Branson Landing Blvd, Ferrell Duncan Clinic Urology (suite 307),
Branson, MO 65616-4500
Ph: (417) 335-7736 |
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