Dr Jon Dubose, MD in Tarboro, NC - Medicare Hospitalist

Dr Jon Dubose, MD is a medicare enrolled "Internal Medicine" physician in Tarboro, North Carolina. He went to University Of South Carolina School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Ies South Carolina Llc, Hartsville Medical Group, Llc and his current practice location is 111 Hospital Dr, Tarboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 641-7700.

Dr Jon Dubose is licensed to practice in North Carolina (license number 200101440) 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 1114920162.

Contact Information

	Dr Jon Dubose, MD
	111 Hospital Dr, Tarboro, NC 27886-2011
	(252) 641-7700
	(252) 641-7313

Map and Direction

Physician's Profile

Full Name	Dr Jon Dubose
Gender	Male
Speciality	Hospitalist
Experience	25 Years
Location	111 Hospital Dr, Tarboro, North Carolina
Accepts Medicare Assignments	Yes. 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 Jon Dubose attended and graduated from University Of South Carolina School Of Medicine in 1999

NPI Data:

NPI Number: 1114920162
Provider Enumeration Date: 05/23/2005
Last Update Date: 10/12/2022

Medicare PECOS Information:

PECOS PAC ID: 5395769236
Enrollment ID: I20220720001015

Medical Identifiers

Medical identifiers for Dr Jon Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114920162	NPI	-	NPPES
891330U	Medicaid	NC
PENDING	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	200101440 (North Carolina)	Secondary
208M00000X	Hospitalist	87299 (South Carolina)	Secondary
207R00000X	Internal Medicine	200101440 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolina Pines Regional Medical Center	Hartsville, SC	Hospital
Prisma Health Oconee Memorial Hospital	Seneca, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ies South Carolina Llc	1355705070	21
Hartsville Medical Group, Llc	7012062714	40

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 Jon Dubose allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Hartsville Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598995300 PECOS PAC ID: 7012062714 Enrollment ID: O20090902000027

Entity Name	Musc Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388

Entity Name	Ies South Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821779695 PECOS PAC ID: 1355705070 Enrollment ID: O20230914000885

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 Jon Dubose 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 Jon Dubose, MD 111 Hospital Dr, Tarboro, NC 27886-2011 Ph: (252) 641-7700	Dr Jon Dubose, MD 111 Hospital Dr, Tarboro, NC 27886-2011 Ph: (252) 641-7700

Reviews and Comments

Internal Medicine Doctors in Tarboro, NC

Syed Sami Haider, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 252-641-7700
Manisha Tiwari, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 212-423-6771
Ramesh Raj Mishra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-824-1419
Jeffrey Silver, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105
Paul Richard Woodard Ii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-824-5061 Fax: 252-824-5011
Dr. Mahdi Sitouah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 285-641-7700
Moulika Reddy Bandaru, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 Fax: 252-823-3164

Dr Jon Dubose, MD - Medicare Hospitalist in Tarboro, NC