Jared Reichard, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Grantville, Georgia. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Grady Memorial Hospital Corporation and his current practice location is
65 Sunrise Dr, Grantville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 312-5137.
Jared Reichard is licensed to practice in Georgia (license number RN225678) 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 1811425853.
Provider's Profile
| Full Name | Jared Reichard |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 65 Sunrise Dr, Grantville, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jared Reichard graduated from nursing school in 2012
NPI Data:
- NPI Number: 1811425853
- Provider Enumeration Date: 06/02/2017
- Last Update Date: 09/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315287059
- Enrollment ID: I20190316000094
Medical Identifiers
Medical identifiers for Jared Reichard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811425853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN225678 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grady Memorial Hospital Corporation | 7517032998 | 262 |
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. Jared Reichard allows following entities to bill medicare on his behalf.
| Entity Name | Grady Memorial Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311 |
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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. Jared Reichard 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 |
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Jared Reichard, NURSE PRACTITIONER
643 Main St,
Palmetto, GA 30268-1138
Ph: (404) 929-8824 | Jared Reichard, NURSE PRACTITIONER
65 Sunrise Dr,
Grantville, GA 30220-2854
Ph: (770) 312-5137 |
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