Dr Justin Trevor Woodson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Liberty, North Carolina. His current practice location is
Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(301) 512-0017.
Dr Justin Trevor Woodson is licensed to practice in Texas (license number K5749) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720058951.
Physician's Profile
| Full Name | Dr Justin Trevor Woodson |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720058951
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466897392
- Enrollment ID: I20240229003943
Medical Identifiers
Medical identifiers for Dr Justin Trevor Woodson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720058951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083A0100X | Preventive Medicine - Aerospace Medicine | K5749 (Texas) | Secondary |
| 207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | K5749 (Texas) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | K5749 (Texas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | K5749 (Texas) | Primary |
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 Justin Trevor Woodson allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Radiology Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740283324
PECOS PAC ID: 4284546516
Enrollment ID: O20031104000494 |
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| Entity Name | Spartan Radiology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932768058
PECOS PAC ID: 5698003697
Enrollment ID: O20190829001596 |
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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 Justin Trevor Woodson 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 |
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Dr Justin Trevor Woodson, MD
301 Andrews Ave,
Fort Rucker, AL 36362
Ph: (334) 255-7387 | Dr Justin Trevor Woodson, MD
Womack Army Medical Center 2817 Rock Merritt Ave,
Fort Liberty, NC 28310-0001
Ph: (301) 512-0017 |
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