Dr Cary Nelson Davis Fishburne Jr, MD - Medicare Obstetrics/gynecology in Charlotte, NC

Dr Cary Nelson Davis Fishburne Jr, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Charlotte, North Carolina. He went to University Of Virginia School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice East Cooper Physician Group Llc and his current practice location is 10220 Prosperity Park Dr Ste 300, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 316-1120.

Dr Cary Nelson Davis Fishburne Jr is licensed to practice in South Carolina (license number 40796) 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 1285624031.

Contact Information

Dr Cary Nelson Davis Fishburne Jr, MD
10220 Prosperity Park Dr Ste 300,
Charlotte, NC 28269-1106
(704) 316-1120
Not Available

Map and Direction




Physician's Profile

Full NameDr Cary Nelson Davis Fishburne Jr
GenderMale
SpecialityObstetrics/gynecology
Experience30 Years
Location10220 Prosperity Park Dr Ste 300, Charlotte, North Carolina
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:
  • Dr Cary Nelson Davis Fishburne Jr attended and graduated from University Of Virginia School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1285624031
  • Provider Enumeration Date: 10/24/2005
  • Last Update Date: 01/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234167958
  • Enrollment ID: I20180712000277

Medical Identifiers

Medical identifiers for Dr Cary Nelson Davis Fishburne Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285624031NPI-NPPES
891332YMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 9601608 (North Carolina)Secondary
207VF0040XObstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery 40796 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
East Cooper Medical CenterMount pleasant, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
East Cooper Physician Group Llc125477568764

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. Dr Cary Nelson Davis Fishburne Jr allows following entities to bill medicare on his behalf.
Entity NameEast Cooper Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861253981
PECOS PAC ID: 1254775687
Enrollment ID: O20240214000176

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. Dr Cary Nelson Davis Fishburne Jr 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
Dr Cary Nelson Davis Fishburne Jr, MD
295a Midland Pkwy Ste 130,
Summerville, SC 29485-5901

Ph: (843) 873-9690
Dr Cary Nelson Davis Fishburne Jr, MD
10220 Prosperity Park Dr Ste 300,
Charlotte, NC 28269-1106

Ph: (704) 316-1120

Reviews and Comments


Obstetrics & Gynecology Doctors in Charlotte, NC

Jackie Alan Lucas, MD
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Practice Location: 1025 Morehead Medical Dr, Ste 450, Charlotte, NC 28204
Phone: 704-446-7800    
Lynn Amy Boardman, MD
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Practice Location: 1350 S Kings Dr, Charlotte, NC 28207
Phone: 704-446-1544    
Dr. Simon Vivian Ward Iii, M.D.
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Practice Location: 1918 Randolph Rd, Suite 670, Charlotte, NC 28207
Phone: 704-384-1620    Fax: 704-384-1626
Curtis Lee Flood, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1901 E 5th St, Charlotte, NC 28204
Phone: 980-367-4363    Fax: 704-384-1644
Grant Blanchard, MD
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Medicare: Medicare Enrolled
Practice Location: 1350 S Kings Dr, Charlotte, NC 28207
Phone: 704-446-1544    
Roland Pixley, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204
Phone: 704-446-1700    
Katherine Elizabeth Akeley, MD
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Medicare: Medicare Enrolled
Practice Location: 4525 Cameron Valley Pkwy Ste 2500, Charlotte, NC 28211
Phone: 704-446-1700    

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.