Dr Ian Luke Bryan, MD - Medicare Pediatrics in Edenton, NC

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Dr Ian Luke Bryan, MD is a medicare enrolled "Pediatrics" physician in Edenton, North Carolina. His current practice location is 18 Old Fish Hatchery Rd, Edenton, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 484-9024.

Dr Ian Luke Bryan is licensed to practice in North Carolina (license number 2019-01984) 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 1639525231.

Contact Information

Dr Ian Luke Bryan, MD
18 Old Fish Hatchery Rd,
Edenton, NC 27932-1640
(252) 484-9024
(252) 404-8424

Map and Direction




Physician's Profile

Full NameDr Ian Luke Bryan
GenderMale
SpecialityPediatrics
Location18 Old Fish Hatchery Rd, Edenton, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639525231
  • Provider Enumeration Date: 05/12/2016
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931491727
  • Enrollment ID: I20190930000739

Medical Identifiers

Medical identifiers for Dr Ian Luke Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639525231NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2019-01984 (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 Ian Luke Bryan allows following entities to bill medicare on his behalf.
Entity NameScotland Memorial Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033103767
PECOS PAC ID: 0648208504
Enrollment ID: O20031105000382
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445
Entity NameOuter Banks Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891050357
PECOS PAC ID: 3173652096
Enrollment ID: O20100602000156
Entity NameDlp Maria Parham Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215273628
PECOS PAC ID: 7719153683
Enrollment ID: O20111222000550

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 Ian Luke Bryan 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 Ian Luke Bryan, MD
Po Box 184,
Edenton, NC 27932-0184

Ph: (252) 484-9024		Dr Ian Luke Bryan, MD
18 Old Fish Hatchery Rd,
Edenton, NC 27932-1640

Ph: (252) 484-9024

Reviews and Comments


Pediatrics Doctors in Edenton, NC

Melanie Dolores Gray Miller, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 203 Earnhart Dr Ste A, Edenton, NC 27932
Phone: 252-482-7407    
Bartholomew J Resta, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 203 Earnhart Dr, Edenton, NC 27932
Phone: 252-482-7407    Fax: 252-482-5529
Dr. Raid Abo-kamil, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 203 Earnhart Dr, Edenton, NC 27932
Phone: 252-482-7407    Fax: 252-482-5529

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.