Dr Judson Daniell Rackley, MD is a medicare enrolled "Urology" physician in Elkin, North Carolina. He went to Medical College Of Georgia School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Urology. He is a member of the group practice Hugh Chatham Memorial Hospital Inc, Piedmont Stone Center Pllc and his current practice location is
200 Johnson Ridge Medical Park, Elkin, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 526-0040.
Dr Judson Daniell Rackley is licensed to practice in North Carolina (license number 2018-02609) 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 1578583829.
Physician's Profile
Full Name | Dr Judson Daniell Rackley |
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Gender | Male |
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Speciality | Urology |
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Experience | 23 Years |
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Location | 200 Johnson Ridge Medical Park, Elkin, North Carolina |
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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 Judson Daniell Rackley attended and graduated from Medical College Of Georgia School Of Medicine in 2001
NPI Data:
- NPI Number: 1578583829
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 01/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880791433
- Enrollment ID: I20181213001411
Medical Identifiers
Medical identifiers for Dr Judson Daniell Rackley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578583829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 2018-02609 (North Carolina) | Primary |
208800000X | Urology | ME0095219 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hugh Chatham Memorial Hospital Inc | 2062311442 | 81 |
Piedmont Stone Center Pllc | 2961315718 | 65 |
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 Judson Daniell Rackley allows following entities to bill medicare on his behalf.
Entity Name | Piedmont Stone Center Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700827409 PECOS PAC ID: 2961315718 Enrollment ID: O20031107000688 |
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Entity Name | Hugh Chatham Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447373063 PECOS PAC ID: 2062311442 Enrollment ID: O20040717000340 |
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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 Judson Daniell Rackley 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 Judson Daniell Rackley, MD 360 Parkwood Medical Park, Elkin, NC 28621-2444 Ph: () - | Dr Judson Daniell Rackley, MD 200 Johnson Ridge Medical Park, Elkin, NC 28621-2443 Ph: (336) 526-0040 |
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