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

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



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

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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. 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

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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

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