Dr Kevin David Wellbaum, MD in Mooresville, NC

Dr Kevin David Wellbaum, MD is a medicare enrolled "Pediatrics" physician in Mooresville, North Carolina. His current practice location is 656 Carpenter Ave, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 664-5133.

Dr Kevin David Wellbaum is licensed to practice in North Carolina (license number 2016-01403) 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 1790049641.

Contact Information

	Dr Kevin David Wellbaum, MD
	656 Carpenter Ave, Mooresville, NC 28115-2538
	(704) 664-5133
	(704) 660-0406

Map and Direction

Physician's Profile

Full Name	Dr Kevin David Wellbaum
Gender	Male
Speciality	Pediatrics
Location	656 Carpenter Ave, Mooresville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790049641
Provider Enumeration Date: 06/26/2012
Last Update Date: 10/25/2020

Medicare PECOS Information:

PECOS PAC ID: 9133368368
Enrollment ID: I20190102002959

Medical Identifiers

Medical identifiers for Dr Kevin David Wellbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790049641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	5536 (Georgia)	Secondary
208000000X	Pediatrics	074135 (Georgia)	Secondary
208000000X	Pediatrics	2016-01403 (North Carolina)	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 Kevin David Wellbaum allows following entities to bill medicare on his behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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 Kevin David Wellbaum 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 Kevin David Wellbaum, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (844) 266-8268	Dr Kevin David Wellbaum, MD 656 Carpenter Ave, Mooresville, NC 28115-2538 Ph: (704) 664-5133

Reviews and Comments

Pediatrics Doctors in Mooresville, NC

Laura Therese Recchi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 136 Gateway Blvd Ste A, Mooresville, NC 28117 Phone: 704-799-2878 Fax: 704-799-1627
Elizabeth Ellen Tilt, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 511 Lisa Carol Dr, Mooresville, NC 28115 Phone: 704-651-3907
Gianna Demos Madrid, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 656 Carpenter Ave, Mooresville, NC 28115 Phone: 704-664-5133 Fax: 704-799-6356
Dr. Stephen James Malloney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 134 Medical Park Rd Ste 100, Mooresville, NC 28117 Phone: 704-662-0106 Fax: 808-290-6369
Shelley H. Rinker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 133 Welton Way, Suite C, Mooresville, NC 28117 Phone: 704-664-2552 Fax: 704-664-5382
Lisa Schroepfer Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 136 Gateway Blvd Ste A, Mooresville, NC 28117 Phone: 704-799-2878 Fax: 704-799-1627
Amy Poteat Ferguson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 656 Carpenter Ave, Mooresville, NC 28115 Phone: 704-664-5133

Dr Kevin David Wellbaum, MD - Medicare Pediatrics in Mooresville, NC