Dr Seth A Kaplan, MD - Medicare Gastroenterology in Raleigh, NC

Dr Seth A Kaplan, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Raleigh, North Carolina. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1989 and has 35 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Wake Internal Medicine Consultants, Inc. and his current practice location is 3100 Blue Ridge Rd, Suite 300, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 781-7500.

Dr Seth A Kaplan is licensed to practice in North Carolina (license number 39628) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1518968775.

Contact Information

Dr Seth A Kaplan, MD
3100 Blue Ridge Rd, Suite 300,
Raleigh, NC 27612-8036
(919) 781-7500
(919) 882-8822

Map and Direction




Physician's Profile

Full NameDr Seth A Kaplan
GenderMale
SpecialityGastroenterology
Experience35 Years
Location3100 Blue Ridge Rd, Raleigh, North Carolina
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Seth A Kaplan attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1989
  NPI Data:
  • NPI Number: 1518968775
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 11/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113930181
  • Enrollment ID: I20060714000115

Medical Identifiers

Medical identifiers for Dr Seth A Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518968775NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 39628 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Internal Medicine Consultants, Inc.953714402735

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 Seth A Kaplan allows following entities to bill medicare on his behalf.
Entity NameWake Internal Medicine Consultants, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699760926
PECOS PAC ID: 9537144027
Enrollment ID: O20040619000088

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 Seth A Kaplan 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 Seth A Kaplan, MD
3237 Blue Ridge Rd,
Raleigh, NC 27612-8036

Ph: (919) 781-7500
Dr Seth A Kaplan, MD
3100 Blue Ridge Rd, Suite 300,
Raleigh, NC 27612-8036

Ph: (919) 781-7500

Reviews and Comments


Internal Medicine Doctors in Raleigh, NC

Dr. William Brooks Hall, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2605 Blue Ridge Rd Ste 190, Raleigh, NC 27607
Phone: 919-784-7460    
Dr. Serdal Aktolga, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 919-350-8000    Fax: 919-350-7204
Sheila A Munday,
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3101 John Humphries Wynd, Raleigh, NC 27612
Phone: 919-881-8272    Fax: 919-881-2026
Dr. James Robert Foster, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 3000 New Bern Ave, G-100, Raleigh, NC 27610
Phone: 919-231-8253    Fax: 919-231-9546
Dr. Michael Joseph Casey, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Barrett Dr Ste 200, Raleigh, NC 27609
Phone: 919-231-3966    Fax: 919-231-3912
Adnan Pervez, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2605 Blue Ridge Rd Ste 190, Raleigh, NC 27607
Phone: 919-784-7460    Fax: 919-784-5698
Dr. Morgan Eileen Mullaney, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 4420 Lake Boone Trl Ste 420, Raleigh, NC 27607
Phone: 919-784-3100    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.