Dr Jake Hamilton Bayless, DO - Medicare Family Practice in Charlotte, NC

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Dr Jake Hamilton Bayless, DO is a medicare enrolled "Hospitalist" physician in Charlotte, North Carolina. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeastern Hospitalist Services Pc, Novant Medical Group Inc and his current practice location is 10905 Providence Rd W, Ste G200, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (980) 488-4900.

Dr Jake Hamilton Bayless is licensed to practice in North Carolina (license number 2023-03317) 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 1124558135.

Contact Information

Dr Jake Hamilton Bayless, DO
10905 Providence Rd W, Ste G200,
Charlotte, NC 28277-1538
(980) 488-4900
(980) 488-4905

Map and Direction




Physician's Profile

Full NameDr Jake Hamilton Bayless
GenderMale
SpecialityFamily Practice
Experience7 Years
Location10905 Providence Rd W, 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 Jake Hamilton Bayless graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1124558135
  • Provider Enumeration Date: 06/13/2017
  • Last Update Date: 03/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5890069306
  • Enrollment ID: I20200630003612

Medical Identifiers

Medical identifiers for Dr Jake Hamilton Bayless such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124558135NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine LL40693 (South Carolina)Secondary
208M00000XHospitalist 2023-03317 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Hospice LlcPiedmont, SCHospice
Piedmont Medical CenterRock hill, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Hospitalist Services Pc3476855420275
Novant Medical Group Inc11532348932023

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 Jake Hamilton Bayless allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Hospitalist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003280108
PECOS PAC ID: 3476855420
Enrollment ID: O20160125000378

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 Jake Hamilton Bayless 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 Jake Hamilton Bayless, DO
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (980) 488-4900		Dr Jake Hamilton Bayless, DO
10905 Providence Rd W, Ste G200,
Charlotte, NC 28277-1538

Ph: (980) 488-4900

Reviews and Comments


Hospitalist Doctors in Charlotte, NC

Shakuntala Mathapati, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-0720    
Nicole A. Cagle Richardson, MD
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Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203
Phone: 704-381-8840    
David Jerret Pubantz, MD
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Practice Location: 4501 Cameron Valley Pkwy, Ste 200-b, Charlotte, NC 28211
Phone: 704-381-0500    
Joshua Lee Eichenberger, MD
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Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-0720    
Stefanie Rose Reed, DO
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Medicare: Medicare Enrolled
Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203
Phone: 704-381-8840    
Jasdip G. Bajaj, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 8800 N Tryon St, Charlotte, NC 28262
Phone: 704-863-6241    
Thanigaiarsu Thiyagarajan, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-4475    

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.