Dr Gregory L Demotts, MD is a medicare enrolled "Family Medicine" physician in Nickelsville, Virginia. His current practice location is
142 Meade Ave, Nickelsville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 479-2201.
Dr Gregory L Demotts is licensed to practice in Virginia (license number 0101031217) 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 1891708111.
Physician's Profile
| Full Name | Dr Gregory L Demotts |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 142 Meade Ave, Nickelsville, Virginia |
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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: 1891708111
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 03/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799889747
- Enrollment ID: I20100923001253
Medical Identifiers
Medical identifiers for Dr Gregory L Demotts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891708111 | NPI | - | NPPES |
| 4175553 | Medicaid | TN | |
| 037069 | Other | VA | ANTHEM BLUE CROSS BLUE SH |
| 3706155 | Other | TN | MEDICARE GROUP PIN |
| 5609933 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 013154 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 0101031217 (Virginia) | 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 Gregory L Demotts allows following entities to bill medicare on his behalf.
| Entity Name | Mountain Region Family Medicine P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467565804
PECOS PAC ID: 5890699961
Enrollment ID: O20070328000689 |
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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 Gregory L Demotts 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 Gregory L Demotts, MD
Po Box 3889,
Johnson City, TN 37602-3889
Ph: (423) 230-2100 | Dr Gregory L Demotts, MD
142 Meade Ave,
Nickelsville, VA 24271-2108
Ph: (276) 479-2201 |
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