Jimmy Nicolas Pan, DO - Medicare Family Medicine in Smithfield, NC

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Jimmy Nicolas Pan, DO is a medicare enrolled "Family Medicine" physician in Smithfield, North Carolina. His current practice location is 514 N Brightleaf Blvd Ste 1610, Smithfield, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 938-7187.

Jimmy Nicolas Pan is licensed to practice in North Carolina (license number 2023-02430) 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 1770110512.

Contact Information

Jimmy Nicolas Pan, DO
514 N Brightleaf Blvd Ste 1610,
Smithfield, NC 27577-4486
(919) 938-7187
(919) 938-7201

Map and Direction




Physician's Profile

Full NameJimmy Nicolas Pan
GenderMale
SpecialityFamily Medicine
Location514 N Brightleaf Blvd Ste 1610, Smithfield, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770110512
  • Provider Enumeration Date: 03/23/2020
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456773829
  • Enrollment ID: I20231106000492

Medical Identifiers

Medical identifiers for Jimmy Nicolas Pan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770110512NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2023-02430 (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. Jimmy Nicolas Pan allows following entities to bill medicare on his behalf.
Entity NameUnc Physicians Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750704367
PECOS PAC ID: 5496940546
Enrollment ID: O20101115000646

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. Jimmy Nicolas Pan 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
Jimmy Nicolas Pan, DO
5221 Paramount Pkwy Ste 220,
Morrisville, NC 27560-5490

Ph: () -		Jimmy Nicolas Pan, DO
514 N Brightleaf Blvd Ste 1610,
Smithfield, NC 27577-4486

Ph: (919) 938-7187

Reviews and Comments


Family Medicine Doctors in Smithfield, NC

Dr. Marie Luise Zaldivar, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 127 E Market St, Smithfield, NC 27577
Phone: 919-934-7687    Fax: 919-934-5297
Dr. Regina Murphy Ryan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 410 Canterbury Rd, Smithfield, NC 27577
Phone: 919-934-5149    Fax: 919-934-5632
Miroslav Gavazov, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 861 Berkshire Rd, Smithfield, NC 27577
Phone: 919-934-0985    
Dr. Stanley Rudolph Watson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 410 Canterbury Rd, Smithfield, NC 27577
Phone: 919-934-5149    Fax: 919-934-5632
Dr. Usha Guduru, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 517 N Brightleaf Blvd, Smithfield, NC 27577
Phone: 919-989-5200    Fax: 919-989-5208
Dr. Jesse Calvin Pittard, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 410 Canterbury Rd, Smithfield, NC 27577
Phone: 919-934-5149    Fax: 919-934-5632
Dr. Jordan Edward Wong, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 514 N Brightleaf Blvd Ste 1610, Smithfield, NC 27577
Phone: 919-938-7187    

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.