Dr Richard Eric Huettemann Jr, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Clemmons, North Carolina. His current practice location is
7210 Village Medical Cir Ste 310, Clemmons, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 277-4075.
Dr Richard Eric Huettemann Jr is licensed to practice in North Carolina (license number 2024-02222) 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 1255824041.
Physician's Profile
Full Name | Dr Richard Eric Huettemann Jr |
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Gender | Male |
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Speciality | Colon & Rectal Surgery |
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Location | 7210 Village Medical Cir Ste 310, Clemmons, 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. |
NPI Data:
- NPI Number: 1255824041
- Provider Enumeration Date: 06/07/2018
- Last Update Date: 09/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022361708
- Enrollment ID: I20240905000273
Medical Identifiers
Medical identifiers for Dr Richard Eric Huettemann Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255824041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 2024-02222 (North Carolina) | Secondary |
208600000X | Surgery | LL52558 (South Carolina) | Secondary |
208C00000X | Colon & Rectal Surgery | 2024-02222 (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 Richard Eric Huettemann Jr allows following entities to bill medicare on his behalf.
Entity Name | Novant Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
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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 Richard Eric Huettemann Jr 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 Richard Eric Huettemann Jr, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Dr Richard Eric Huettemann Jr, MD 7210 Village Medical Cir Ste 310, Clemmons, NC 27012-8041 Ph: (336) 277-4075 |
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