Justin Meredith, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cub Run, Kentucky. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ipc Pac Healthcare Services Of Tennessee Pc and his current practice location is
424 Gap Hill Rd, Cub Run, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 784-0194.
Justin Meredith is licensed to practice in Tennessee (license number 56994) 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 1033733605.
Provider's Profile
Full Name | Justin Meredith |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 424 Gap Hill Rd, Cub Run, Kentucky |
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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. |
Medical Education and Training:
- Justin Meredith graduated from nursing school in 2020
NPI Data:
- NPI Number: 1033733605
- Provider Enumeration Date: 05/29/2020
- Last Update Date: 05/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991115487
- Enrollment ID: I20201112001744
Medical Identifiers
Medical identifiers for Justin Meredith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033733605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 56994 (Tennessee) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ipc Pac Healthcare Services Of Tennessee Pc | 0840587572 | 66 |
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. Justin Meredith allows following entities to bill medicare on his behalf.
Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
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Entity Name | Nv Pacs 2 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
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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. Justin Meredith 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 |
Justin Meredith, 424 Gap Hill Rd, Cub Run, KY 42729-9338 Ph: (270) 784-0194 | Justin Meredith, 424 Gap Hill Rd, Cub Run, KY 42729-9338 Ph: (270) 784-0194 |
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