Paul Brandon Mcgeorge, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jackson, Mississippi. His current practice location is
2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 815-1779.
Paul Brandon Mcgeorge is licensed to practice in * (Not Available) (license number ) 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 1720510456.
Physician's Profile
Full Name | Paul Brandon Mcgeorge |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2500 N State St, Jackson, Mississippi |
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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: 1720510456
- Provider Enumeration Date: 03/31/2017
- Last Update Date: 06/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 1355611385
- Enrollment ID: I20220706002245
Medical Identifiers
Medical identifiers for Paul Brandon Mcgeorge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720510456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 91807 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Paul Brandon Mcgeorge allows following entities to bill medicare on his behalf.
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
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Entity Name | Emory Medical Care Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
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Entity Name | Jackson Radiology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699700716 PECOS PAC ID: 6305893231 Enrollment ID: O20050404000399 |
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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. Paul Brandon Mcgeorge 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 |
Paul Brandon Mcgeorge, MD 2500 N State Street, Jackson, MS 39216 Ph: (601) 815-1779 | Paul Brandon Mcgeorge, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-1779 |
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