Dr Thomas J Caruthers Jr, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Bolivar, Tennessee. His current practice location is
629 Nuckolls Rd, Bolivar, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 658-3388.
Dr Thomas J Caruthers Jr is licensed to practice in Tennessee (license number TN000029623) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730138355.
Physician's Profile
| Full Name | Dr Thomas J Caruthers Jr |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 629 Nuckolls Rd, Bolivar, Tennessee |
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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: 1730138355
- Provider Enumeration Date: 05/09/2006
- Last Update Date: 04/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 9133376957
- Enrollment ID: I20120830000406
Medical Identifiers
Medical identifiers for Dr Thomas J Caruthers Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730138355 | NPI | - | NPPES |
| 3810696 | Medicaid | TN | |
| 1730138355 | Other | | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | TN000029623 (Tennessee) | Primary |
| 174400000X | Specialist | TN0000029623 (Tennessee) | Secondary |
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 Thomas J Caruthers Jr allows following entities to bill medicare on his behalf.
| Entity Name | Hardeman County Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861468340
PECOS PAC ID: 5799694147
Enrollment ID: O20040615001290 |
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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 Thomas J Caruthers Jr 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 |
|---|
Dr Thomas J Caruthers Jr, MD
97 Emily Cv,
Atoka, TN 38004-7475
Ph: (901) 463-0072 | Dr Thomas J Caruthers Jr, MD
629 Nuckolls Rd,
Bolivar, TN 38008-1599
Ph: (731) 658-3388 |
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