Charly Mott, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Forest City, North Carolina. Her current practice location is
212 Allendale Dr, Forest City, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(828) 245-7626.
Charly Mott is licensed to practice in North Carolina (license number 5017046) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992421853.
Physician's Profile
Full Name | Charly Mott |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 212 Allendale Dr, Forest City, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992421853
- Provider Enumeration Date: 10/12/2022
- Last Update Date: 04/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002287497
- Enrollment ID: I20230123001051
Medical Identifiers
Medical identifiers for Charly Mott such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992421853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 5017046 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5017046 (North Carolina) | 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. Charly Mott allows following entities to bill medicare on her behalf.
Entity Name | St. Luke's Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497944912 PECOS PAC ID: 1254324585 Enrollment ID: O20050103001010 |
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Entity Name | Dlp Rutherford Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962821322 PECOS PAC ID: 0345466561 Enrollment ID: O20140724001507 |
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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. Charly Mott 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 |
Charly Mott, FNP-C 212 Allendale Dr, Forest City, NC 28043-2889 Ph: (828) 245-7626 | Charly Mott, FNP-C 212 Allendale Dr, Forest City, NC 28043-2889 Ph: (828) 245-7626 |
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