George Spanos, DO is a medicare enrolled "Emergency Medicine" physician in Bolivar, Tennessee. His current practice location is
650 Nuckolls Rd, Bolivar, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 660-8759.
George Spanos is licensed to practice in Tennessee (license number 810) 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 1760412654.
Physician's Profile
Full Name | George Spanos |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 650 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. |
NPI Data:
- NPI Number: 1760412654
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 07/16/2009
Medicare PECOS Information:
- PECOS PAC ID: 8022919497
- Enrollment ID: I20040119000134
Medical Identifiers
Medical identifiers for George Spanos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760412654 | NPI | - | NPPES |
3307622 | Medicaid | TN | |
4106215 | Other | | BCBS |
P00276317 | Other | | RR MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 810 (Tennessee) | 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. George Spanos allows following entities to bill medicare on his behalf.
Entity Name | Emergency Coverage Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
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Entity Name | Afc Physicians Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114234523 PECOS PAC ID: 5395924823 Enrollment ID: O20110128000880 |
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Entity Name | Memphis Urgent Care #2 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164840609 PECOS PAC ID: 0648407023 Enrollment ID: O20131210000737 |
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Entity Name | Carespot Of Memphis, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518405034 PECOS PAC ID: 4587940903 Enrollment ID: O20170418002889 |
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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. George Spanos 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 |
George Spanos, DO 1804 Highway 45 Byp, Ste 604, Jackson, TN 38305-4436 Ph: (731) 660-8759 | George Spanos, DO 650 Nuckolls Rd, Bolivar, TN 38008-1532 Ph: (731) 660-8759 |
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