Dr Payton Gregory Fennell, DO - Medicare Sports Medicine in Charlotte, NC

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Dr Payton Gregory Fennell, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Charlotte, North Carolina. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Novant Medical Group Inc and his current practice location is 4741 Randolph Rd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 365-6730.

Dr Payton Gregory Fennell is licensed to practice in North Carolina (license number 200601317) 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 1306906086.

Contact Information

Dr Payton Gregory Fennell, DO
4741 Randolph Rd,
Charlotte, NC 28211-2919
(704) 365-6730
(704) 365-6731

Map and Direction




Physician's Profile

Full NameDr Payton Gregory Fennell
GenderMale
SpecialitySports Medicine
Experience19 Years
Location4741 Randolph Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. 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 Payton Gregory Fennell attended and graduated from Philadelphia College Of Osteopathic Medicine in 2005
  NPI Data:
  • NPI Number: 1306906086
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 06/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1153422175
  • Enrollment ID: I20070720000562

Medical Identifiers

Medical identifiers for Dr Payton Gregory Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306906086NPI-NPPES
1306906086MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 200601317 (North Carolina)Secondary
207QS0010XFamily Medicine - Sports Medicine 200601317 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Presbyterian Medical CenterCharlotte, NCHospital
Novant Health Matthews Medical CenterMatthews, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348932023

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 Payton Gregory Fennell allows following entities to bill medicare on his behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NamePrivate Diagnostic Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577
Entity NameThe Carolinas Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477508836
PECOS PAC ID: 2567486814
Enrollment ID: O20060125000577
Entity NameWestern Carolina Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134391758
PECOS PAC ID: 8921171190
Enrollment ID: O20080721000746
Entity NameHarnett Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316288350
PECOS PAC ID: 0749420677
Enrollment ID: O20130717000172
Entity NameDlp Frye Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154005965
PECOS PAC ID: 8123397601
Enrollment ID: O20170627003051

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 Payton Gregory Fennell 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 Payton Gregory Fennell, DO
52 12th Ave Ne,
Hickory, NC 28601-2798

Ph: (828) 485-3004		Dr Payton Gregory Fennell, DO
4741 Randolph Rd,
Charlotte, NC 28211-2919

Ph: (704) 365-6730

Reviews and Comments


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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.

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