Emidio Michael Novembre, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Elkin, North Carolina. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1987 and has 37 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Revival Pain Management Inc and his current practice location is
110 Dutchman Ct, Elkin, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 835-5330.
Emidio Michael Novembre is licensed to practice in North Carolina (license number 200201393) 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 1750308664.
Physician's Profile
| Full Name | Emidio Michael Novembre |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 37 Years |
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| Location | 110 Dutchman Ct, Elkin, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Emidio Michael Novembre attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1987
NPI Data:
- NPI Number: 1750308664
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 09/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294637336
- Enrollment ID: I20040123000983
Medical Identifiers
Medical identifiers for Emidio Michael Novembre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750308664 | NPI | - | NPPES |
| 010126401 | Medicaid | VA | |
| 89132UV | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 200201393 (North Carolina) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 200201393 (North Carolina) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 200201393 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Revival Pain Management Inc | 6406922343 | 2 |
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. Emidio Michael Novembre allows following entities to bill medicare on his behalf.
| Entity Name | Revival Pain Management Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801813712
PECOS PAC ID: 6406922343
Enrollment ID: O20080829000208 |
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| Entity Name | Northern Hospital Of Surry County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114467404
PECOS PAC ID: 0244281749
Enrollment ID: O20170911002297 |
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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. Emidio Michael Novembre 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 |
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Emidio Michael Novembre, DO
110 Dutchman Ct,
Elkin, NC 28621-2237
Ph: (336) 835-5330 | Emidio Michael Novembre, DO
110 Dutchman Ct,
Elkin, NC 28621-2237
Ph: (336) 835-5330 |
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