Dr Jennifer Kay Plichta, MD - Medicare General Surgery in Durham, NC

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Dr Jennifer Kay Plichta, MD is a medicare enrolled "Surgery" physician in Durham, North Carolina. She went to Indiana University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Duke Health Integrated Practice Inc and her current practice location is 2301 Erwin Rd, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 684-8111.

Dr Jennifer Kay Plichta is licensed to practice in North Carolina (license number 2016-01186) 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 1134383292.

Contact Information

Dr Jennifer Kay Plichta, MD
2301 Erwin Rd,
Durham, NC 27705-4699
(919) 684-8111
Not Available

Map and Direction




Physician's Profile

Full NameDr Jennifer Kay Plichta
GenderFemale
SpecialityGeneral Surgery
Experience16 Years
Location2301 Erwin Rd, Durham, North Carolina
Accepts Medicare AssignmentsYes. 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 Jennifer Kay Plichta attended and graduated from Indiana University School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1134383292
  • Provider Enumeration Date: 07/17/2008
  • Last Update Date: 09/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7315254125
  • Enrollment ID: I20161102001016

Medical Identifiers

Medical identifiers for Dr Jennifer Kay Plichta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134383292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 262673 (Massachusetts)Secondary
208600000XSurgery 125054996 (Illinois)Secondary
208600000XSurgery 2016-01186 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Duke University HospitalDurham, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Duke Health Integrated Practice Inc83254127372636

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 Jennifer Kay Plichta allows following entities to bill medicare on her behalf.
Entity NamePrivate Diagnostic Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577
Entity NameDuke Health Integrated Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247

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 Jennifer Kay Plichta 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 Jennifer Kay Plichta, MD
Po Box 63362,
Charlotte, NC 28263-3362

Ph: (800) 782-6945		Dr Jennifer Kay Plichta, MD
2301 Erwin Rd,
Durham, NC 27705-4699

Ph: (919) 684-8111

Reviews and Comments


Surgery Doctors in Durham, NC

Dr. Philip Walther, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4101 N Roxboro St, Durham, NC 27704
Phone: 919-684-8111    
Hilliard F Seigler, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 508 Fulton St, Durham, NC 27705
Phone: 919-286-6939    
Dr. Andrew Serghios Barbas, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2301 Erwin Rd, Dumc Box 3512, Durham, NC 27705
Phone: 919-684-8111    
Dr. Nicholas Parrish, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2301 Erwin Rd, Durham, NC 27710
Phone: 919-613-6133    Fax: 919-684-8716
Patricia Martinez Quinones, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2301 Erwin Rd, Durham, NC 27705
Phone: 919-681-3445    
Thomas D'amico, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Erwin Rd, Durham, NC 27710
Phone: 919-620-4467    
Dr. Howard Levinson, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Erwin Rd, Durham, NC 27710
Phone: 919-684-8111    

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.