Caleb Mingo, CAA - Medicare Anesthesiologist Assistant in Waycross, GA

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Caleb Mingo, CAA is a medicare enrolled "Anesthesiologist Assistant" in Waycross, Georgia. His current practice location is 1900 Tebeau St, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 283-3030.

Caleb Mingo is licensed to practice in Georgia (license number 11891) 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 1699540112.

Contact Information

Caleb Mingo, CAA
1900 Tebeau St,
Waycross, GA 31501-6357
(912) 283-3030
Not Available

Map and Direction




Provider's Profile

Full NameCaleb Mingo
GenderMale
SpecialityAnesthesiologist Assistant
Location1900 Tebeau St, Waycross, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699540112
  • Provider Enumeration Date: 11/15/2023
  • Last Update Date: 11/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113375445
  • Enrollment ID: I20231128001450

Medical Identifiers

Medical identifiers for Caleb Mingo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699540112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 11891 (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. Caleb Mingo allows following entities to bill medicare on his behalf.
Entity NameAms Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487107157
PECOS PAC ID: 3870880792
Enrollment ID: O20160921000551

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. Caleb Mingo 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
Caleb Mingo, CAA
110 Allen Ln,
Nahunta, GA 31553-2060

Ph: (912) 285-4983		Caleb Mingo, CAA
1900 Tebeau St,
Waycross, GA 31501-6357

Ph: (912) 283-3030

Reviews and Comments


Anesthesiologist Assistant Nurses in Waycross, GA

David James Drolte, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 410 Darling Ave, Dept Of Anesthesia, Waycross, GA 31501
Phone: 912-338-6511    Fax: 912-338-6512
Oladotun Akintomide, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 410 Darling Ave, Dept Of Anesthesia, Waycross, GA 31501
Phone: 912-338-6511    Fax: 912-338-6512
Robert Earl Shonk, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 410 Darling Ave, Anesthesia Dept, Waycross, GA 31501
Phone: 912-338-6511    Fax: 912-338-6512

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.