Jason Adrian Boothe, MD - Medicare Family Practice in Charlotte, NC

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Jason Adrian Boothe, MD is a medicare enrolled "Family Medicine" physician in Charlotte, North Carolina. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Novant Medical Group Inc and his current practice location is 6324 Fairview Rd Ste 201, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-0588.

Jason Adrian Boothe is licensed to practice in North Carolina (license number 2016-00166) 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 1093151086.

Contact Information

Jason Adrian Boothe, MD
6324 Fairview Rd Ste 201,
Charlotte, NC 28210-4278
(704) 384-0588
Not Available

Map and Direction




Physician's Profile

Full NameJason Adrian Boothe
GenderMale
SpecialityFamily Practice
Experience11 Years
Location6324 Fairview Rd Ste 201, 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:
  • Jason Adrian Boothe graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1093151086
  • Provider Enumeration Date: 05/16/2013
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123244951
  • Enrollment ID: I20170918002365

Medical Identifiers

Medical identifiers for Jason Adrian Boothe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093151086NPI-NPPES
193050OtherNCRTL RESIDENT TRAINING LICENSE NUMBER
2016-00166OtherNCNORTH CAROLINA MEDICAL BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2016-00166 (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. Jason Adrian Boothe 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 NameCarolina Medicorp Enterprises Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760950646
PECOS PAC ID: 0648174904
Enrollment ID: O20040110000190
Entity NameNh Digital Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427683044
PECOS PAC ID: 9537588934
Enrollment ID: O20201005002074

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. Jason Adrian Boothe 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
Jason Adrian Boothe, MD
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 384-0588		Jason Adrian Boothe, MD
6324 Fairview Rd Ste 201,
Charlotte, NC 28210-4278

Ph: (704) 384-0588

Reviews and Comments


Family Medicine Doctors in Charlotte, NC

Leslie Kay Ruffing Adcock, MD
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Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207
Phone: 704-304-7000    
Lillian M. Teigland, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210
Phone: 704-384-0588    Fax: 704-384-0580
Felice A James, MD
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Practice Location: 251 Eastway Dr, Charlotte, NC 28213
Phone: 704-446-9991    
Heather M. Burney, MD
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Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208
Phone: 704-446-9987    
Dr. Jerome Howard, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 6111 Rumple Rd, Charlotte, NC 28262
Phone: 704-596-5067    Fax: 704-599-9458
Vishalakshi Kalyana Sundaram, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207
Phone: 704-304-7000    
Thamrah Rhoxana Wright, M.D.
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Practice Location: 1918 Randolph Rd Ste 275, Charlotte, NC 28207
Phone: 704-384-1354    

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.