Dr Gaddy Lassiter, MD is a medicare enrolled "Family Medicine" physician in Harrellsville, North Carolina. His current practice location is
103 E Main St, Harrellsville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 356-6544.
Dr Gaddy Lassiter is licensed to practice in North Carolina (license number 009900580) 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 1700862083.
Physician's Profile
| Full Name | Dr Gaddy Lassiter |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 103 E Main St, Harrellsville, 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. |
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NPI Data:
- NPI Number: 1700862083
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 07/23/2010
Medicare PECOS Information:
- PECOS PAC ID: 7214918135
- Enrollment ID: I20040601001144
Medical Identifiers
Medical identifiers for Dr Gaddy Lassiter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700862083 | NPI | - | NPPES |
| 891216W | Medicaid | NC | |
| 1216W | Other | NC | BC/BS IND. # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 009900580 (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. Dr Gaddy Lassiter allows following entities to bill medicare on his behalf.
| Entity Name | Vidant Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445 |
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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. Dr Gaddy Lassiter 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 |
|---|
Dr Gaddy Lassiter, MD
103 E Main St,
Harrellsville, NC 27942-9201
Ph: (252) 356-6544 | Dr Gaddy Lassiter, MD
103 E Main St,
Harrellsville, NC 27942-9201
Ph: (252) 356-6544 |
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