Dustin Cole Horne, MD is a medicare enrolled "Family Medicine" physician in Jekyll Island, Georgia. His current practice location is
11 Main St Unit 201, Jekyll Island, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 766-0755.
Dustin Cole Horne is licensed to practice in Georgia (license number 91054) 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 1417420852.
Physician's Profile
Full Name | Dustin Cole Horne |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 11 Main St Unit 201, Jekyll Island, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417420852
- Provider Enumeration Date: 01/08/2019
- Last Update Date: 09/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890021497
- Enrollment ID: I20220913002883
Medical Identifiers
Medical identifiers for Dustin Cole Horne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417420852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 91054 (Georgia) | 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. Dustin Cole Horne allows following entities to bill medicare on his behalf.
Entity Name | The Corporation Of Mercer University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174693162 PECOS PAC ID: 7618968066 Enrollment ID: O20040524000431 |
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Entity Name | Privia Medical Group Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
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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. Dustin Cole Horne 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 |
Dustin Cole Horne, MD 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 Ph: () - | Dustin Cole Horne, MD 11 Main St Unit 201, Jekyll Island, GA 31527-1064 Ph: (912) 766-0755 |
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