Dr Jamie L Fountain, MD is a medicare enrolled "Internal Medicine" physician in Avon, North Carolina. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Outer Banks Professional Services, Llc and her current practice location is
40894 Highway 12, Healtheast Outer Banks Medical Center, Avon, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 995-3073.
Dr Jamie L Fountain is licensed to practice in Delaware (license number C7-0003227) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891826616.
Physician's Profile
Full Name | Dr Jamie L Fountain |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 19 Years |
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Location | 40894 Highway 12, Avon, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jamie L Fountain attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2005
NPI Data:
- NPI Number: 1891826616
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 05/22/2009
Medicare PECOS Information:
- PECOS PAC ID: 1052464732
- Enrollment ID: I20090728000439
Medical Identifiers
Medical identifiers for Dr Jamie L Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891826616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | C7-0003227 (Delaware) | Primary |
208000000X | Pediatrics | C7-0003227 (Delaware) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Outer Banks Professional Services, Llc | 3173652096 | 83 |
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 Jamie L Fountain allows following entities to bill medicare on her 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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Entity Name | Outer Banks Professional Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
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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 Jamie L Fountain 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 Jamie L Fountain, MD 40894 Highway 12, Po Box 975, Avon, NC 27915 Ph: () - | Dr Jamie L Fountain, MD 40894 Highway 12, Healtheast Outer Banks Medical Center, Avon, NC 27915 Ph: (252) 995-3073 |
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