Jack Anthony Miceli, NP-C in Rome, GA - Medicare Nurse Practitioner

Jack Anthony Miceli, NP-C is a medicare enrolled "Nurse Practitioner" in Rome, Georgia. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Harbin Clinic Llc and his current practice location is 1825 Martha Berry Blvd Nw, Rome, Georgia. You can reach out to his office (for appointments etc.) via phone at (762) 235-1470.

Jack Anthony Miceli is licensed to practice in Georgia (license number RN242971) 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 1821623232.

Contact Information

	Jack Anthony Miceli, NP-C
	1825 Martha Berry Blvd Nw, Rome, GA 30165-1625
	(762) 235-1470
	(706) 238-8081

Map and Direction

Provider's Profile

Full Name	Jack Anthony Miceli
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	1825 Martha Berry Blvd Nw, Rome, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jack Anthony Miceli graduated from nursing school in 2019

NPI Data:

NPI Number: 1821623232
Provider Enumeration Date: 03/05/2020
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6305275439
Enrollment ID: I20200410001201

Medical Identifiers

Medical identifiers for Jack Anthony Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821623232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN242971 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Harbin Clinic Llc	0446154231	257

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. Jack Anthony Miceli allows following entities to bill medicare on his behalf.

Entity Name	Harbin Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679599088 PECOS PAC ID: 0446154231 Enrollment ID: O20031124000117

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. Jack Anthony Miceli 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
Jack Anthony Miceli, NP-C 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (762) 235-1000	Jack Anthony Miceli, NP-C 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 Ph: (762) 235-1470

Reviews and Comments

Nurse Practitioner Nurses in Rome, GA

Charles Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-6515
Hilarie Hincy Rankin, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Redmond Rd Nw, Rome, GA 30165 Phone: 706-528-9060 Fax: 833-263-3551
Mckenzi Paige Brumby, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 762-235-2710 Fax: 706-291-2227
Ashley Nicole Wilbanks, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Redmond Rd Nw, Suite A, Rome, GA 30165 Phone: 706-233-8506 Fax: 706-233-8507
Ronald Seth Van Dyke, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Redmond Rd Nw, Rome, GA 30165 Phone: 762-235-3960 Fax: 706-233-8505
Alexis Butler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4159 Martha Berry Hwy Nw, Rome, GA 30165 Phone: 706-232-8477
Linda H. Hoffmann, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 Shorter Ave Nw, Suite 102, Rome, GA 30165 Phone: 706-233-9349 Fax: 706-232-7986

Jack Anthony Miceli, NP-C - Medicare Nurse Practitioner in Rome, GA