Dr Gajarah Baseemah Ballard Peterson, MD - Medicare Internal Medicine in Wilmington, NC

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Dr Gajarah Baseemah Ballard Peterson, MD is a medicare enrolled "Internal Medicine" physician in Wilmington, North Carolina. Her current practice location is 1202 Medical Center Dr, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 341-3300.

Dr Gajarah Baseemah Ballard Peterson is licensed to practice in North Carolina (license number 2011-00839) 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 1467626788.

Contact Information

Dr Gajarah Baseemah Ballard Peterson, MD
1202 Medical Center Dr,
Wilmington, NC 28401-7307
(910) 341-3300
(910) 251-8824

Map and Direction




Physician's Profile

Full NameDr Gajarah Baseemah Ballard Peterson
GenderFemale
SpecialityInternal Medicine
Location1202 Medical Center Dr, Wilmington, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467626788
  • Provider Enumeration Date: 04/17/2008
  • Last Update Date: 09/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264601780
  • Enrollment ID: I20110817000568

Medical Identifiers

Medical identifiers for Dr Gajarah Baseemah Ballard Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467626788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 2011-00839 (North Carolina)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207R00000XInternal Medicine 2011-00839 (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 Gajarah Baseemah Ballard Peterson allows following entities to bill medicare on her behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455
Entity NameInpatient Consultants Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669422846
PECOS PAC ID: 5991720591
Enrollment ID: O20051012001172
Entity NameColumbus Regional Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508001009
PECOS PAC ID: 6608924931
Enrollment ID: O20090424000511
Entity NameScotland Regional Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972829562
PECOS PAC ID: 2365573185
Enrollment ID: O20100623000242
Entity NameNm Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366928749
PECOS PAC ID: 3375892060
Enrollment ID: O20200109003016

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 Gajarah Baseemah Ballard Peterson 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 Gajarah Baseemah Ballard Peterson, MD
1202 Medical Center Dr,
Wilmington, NC 28401-7307

Ph: (910) 341-3300		Dr Gajarah Baseemah Ballard Peterson, MD
1202 Medical Center Dr,
Wilmington, NC 28401-7307

Ph: (910) 341-3300

Reviews and Comments


Internal Medicine Doctors in Wilmington, NC

Dr. James Carden Mccabe, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1302 Medical Center Dr, Wilmington, NC 28401
Phone: 910-343-9800    Fax: 910-343-9800
Michael Mundy Ward, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2215 Canterwood Dr, Wilmington, NC 28401
Phone: 910-762-4600    Fax: 910-762-9483
Latessa Spiers, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1960 S 16th St, Wilmington, NC 28401
Phone: 910-343-9991    
Dr. Kavita S Persaud, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5919 Oleander Dr Ste 109, Wilmington, NC 28403
Phone: 910-799-5508    Fax: 910-202-0654
Dr. Regina Marie Jensen, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4536 Technology Dr, Ste 3, Wilmington, NC 28405
Phone: 910-343-8411    Fax: 910-343-8414
Mary Kathryn Rudyk, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1709 S 16th St Ste A, Wilmington, NC 28401
Phone: 910-452-8633    Fax: 910-452-8569
Gregory Roberts, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1202 Medical Center Dr, Wilmington, NC 28401
Phone: 910-341-3300    Fax: 910-341-7946

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.