Mr Justin Marcus Fender, R-NP - Medicare Nurse Practitioner in Douglas, GA

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Mr Justin Marcus Fender, R-NP is a medicare enrolled "Nurse Practitioner - Family" in Douglas, 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 Tift Regional Health System Inc and his current practice location is 1400 Peterson Ave N, Suite C, Douglas, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 384-4000.

Mr Justin Marcus Fender is licensed to practice in Georgia (license number RN 194077) 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 1164772372.

Contact Information

Mr Justin Marcus Fender, R-NP
1400 Peterson Ave N, Suite C,
Douglas, GA 31533-2832
(912) 384-4000
(912) 384-4029

Map and Direction




Provider's Profile

Full NameMr Justin Marcus Fender
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location1400 Peterson Ave N, Douglas, Georgia
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:
  • Mr Justin Marcus Fender graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1164772372
  • Provider Enumeration Date: 09/14/2012
  • Last Update Date: 12/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3678724044
  • Enrollment ID: I20121112000415

Medical Identifiers

Medical identifiers for Mr Justin Marcus Fender such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164772372NPI-NPPES
003128519FMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN 194077 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tift Regional Medical CenterTifton, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tift Regional Health System Inc2062745169278

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. Mr Justin Marcus Fender allows following entities to bill medicare on his behalf.
Entity NameTift Regional Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790280857
PECOS PAC ID: 5193619971
Enrollment ID: O20040212000064
Entity NameEmergency Physicians Of Coffee County, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336431030
PECOS PAC ID: 1557549961
Enrollment ID: O20110706000343
Entity NameCoffee Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023353489
PECOS PAC ID: 4880834050
Enrollment ID: O20130711000400
Entity NameTift Regional Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881203305
PECOS PAC ID: 2062745169
Enrollment ID: O20200217002409

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. Mr Justin Marcus Fender 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
Mr Justin Marcus Fender, R-NP
102 Nw Bowens Mill Road,
Douglas, GA 31533-2252

Ph: (912) 384-3838		Mr Justin Marcus Fender, R-NP
1400 Peterson Ave N, Suite C,
Douglas, GA 31533-2832

Ph: (912) 384-4000

Reviews and Comments


Nurse Practitioner Nurses in Douglas, GA

Jennifer Kay Davis, NP
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Practice Location: 901 Connector 206 N, Douglas, GA 31533
Phone: 912-389-6885    Fax: 912-393-1015
Taylor Lamar Gibson, NP
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Practice Location: 200 Doctors Dr Ste O, Douglas, GA 31533
Phone: 912-383-5655    Fax: 912-389-2117
Mrs. Shanda Deleice Carter, NP
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Practice Location: 205 Shirley Ave, Douglas, GA 31533
Phone: 912-383-6966    
Mrs. Nancy Danielle Collins, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 903 Ward St W Ste B, Douglas, GA 31533
Phone: 912-384-4111    Fax: 912-384-4117
Kera Ashlyn Malphus,
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Practice Location: 1001 Ward St W, Douglas, GA 31533
Phone: 912-384-7210    
Patricia Arasely Jaimes,
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Practice Location: 1101 Ocilla Rd, Douglas, GA 31533
Phone: 912-384-1900    
Linda Michelle Bixler, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533
Phone: 912-384-3338    Fax: 912-384-8214

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.