Marc Mickiewicz, MD - Medicare Emergency Medicine in Nashville, TN

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Marc Mickiewicz, MD is a medicare enrolled "Emergency Medicine" physician in Nashville, Tennessee. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Physicians At Sumner Pllc and his current practice location is 6746 Charlotte Pike, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 647-9005.

Marc Mickiewicz is licensed to practice in Tennessee (license number MD37402) 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 1710074828.

Contact Information

Marc Mickiewicz, MD
6746 Charlotte Pike,
Nashville, TN 37209
(615) 647-9005
Not Available

Map and Direction




Physician's Profile

Full NameMarc Mickiewicz
GenderMale
SpecialityEmergency Medicine
Experience25 Years
Location6746 Charlotte Pike, Nashville, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marc Mickiewicz graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1710074828
  • Provider Enumeration Date: 10/09/2006
  • Last Update Date: 08/09/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3678601713
  • Enrollment ID: I20100511000052

Medical Identifiers

Medical identifiers for Marc Mickiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710074828NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD37402 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sumner Regional Medical CenterGallatin, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Physicians At Sumner Pllc20624341606

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. Marc Mickiewicz allows following entities to bill medicare on his behalf.
Entity NameEmergency Physicians At Sumner Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538149521
PECOS PAC ID: 2062434160
Enrollment ID: O20060103000357
Entity NameQuatracor Complete Health Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336620814
PECOS PAC ID: 1254685183
Enrollment ID: O20181113001871
Entity NamePrivia Medical Group Tennessee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376110858
PECOS PAC ID: 0547667552
Enrollment ID: O20210917001131

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. Marc Mickiewicz 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 AddressPractice Location Address
Marc Mickiewicz, MD
4608 Indiana Ave,
Nashville, TN 37209-2328

Ph: (615) 604-8364		Marc Mickiewicz, MD
6746 Charlotte Pike,
Nashville, TN 37209

Ph: (615) 647-9005

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.