Dr Thomas Jackson Vandiver, MD in Charlotte, NC - Medicare Obstetrics & Gynecology

Dr Thomas Jackson Vandiver, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Charlotte, North Carolina. His current practice location is 150 Providence Rd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 973-2106.

Dr Thomas Jackson Vandiver is licensed to practice in North Carolina (license number 24305) 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 1902896756.

Contact Information

	Dr Thomas Jackson Vandiver, MD
	150 Providence Rd, Charlotte, NC 28207-1218
	(704) 973-2106
	(704) 973-2395

Map and Direction

Physician's Profile

Full Name	Dr Thomas Jackson Vandiver
Gender	Male
Speciality	Obstetrics & Gynecology - Gynecology
Location	150 Providence Rd, Charlotte, 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: 1902896756
Provider Enumeration Date: 10/24/2005
Last Update Date: 03/11/2015

Medicare PECOS Information:

PECOS PAC ID: 9638204365
Enrollment ID: I20100318000983

Medical Identifiers

Medical identifiers for Dr Thomas Jackson Vandiver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902896756	NPI	-	NPPES
8984676	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VG0400X	Obstetrics & Gynecology - Gynecology	24305 (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 Thomas Jackson Vandiver 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: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028

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 Thomas Jackson Vandiver 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 Thomas Jackson Vandiver, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 973-2106	Dr Thomas Jackson Vandiver, MD 150 Providence Rd, Charlotte, NC 28207-1218 Ph: (704) 973-2106

Reviews and Comments

Obstetrics & Gynecology Doctors in Charlotte, NC

Jackie Alan Lucas, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Ste 450, Charlotte, NC 28204 Phone: 704-446-7800
Lynn Amy Boardman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544
Dr. Simon Vivian Ward Iii, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1918 Randolph Rd, Suite 670, Charlotte, NC 28207 Phone: 704-384-1620 Fax: 704-384-1626
Curtis Lee Flood, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1901 E 5th St, Charlotte, NC 28204 Phone: 980-367-4363 Fax: 704-384-1644
Grant Blanchard, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544
Roland Pixley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204 Phone: 704-446-1700
Katherine Elizabeth Akeley, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4525 Cameron Valley Pkwy Ste 2500, Charlotte, NC 28211 Phone: 704-446-1700

Dr Thomas Jackson Vandiver, MD - Medicare Obstetrics & Gynecology in Charlotte, NC