John Wylder Dubose, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mount Holly, North Carolina. He went to Duke University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Sleep Medicine. He is a member of the group practice Carolinas Physicians Network Inc and his current practice location is
215 S Main St, Ste 100, Mount Holly, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 302-8555.
John Wylder Dubose is licensed to practice in North Carolina (license number 2020-03220) 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 1104056498.
Physician's Profile
| Full Name | John Wylder Dubose |
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| Gender | Male |
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| Speciality | Sleep Medicine |
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| Experience | 15 Years |
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| Location | 215 S Main St, Mount Holly, 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:
- John Wylder Dubose attended and graduated from Duke University School Of Medicine in 2009
NPI Data:
- NPI Number: 1104056498
- Provider Enumeration Date: 07/21/2009
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476873035
- Enrollment ID: I20200828002183
Medical Identifiers
Medical identifiers for John Wylder Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104056498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 2020-03220 (North Carolina) | Secondary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 2020-03220 (North Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2020-03220 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carolinas Physicians Network Inc | 3375449655 | 1649 |
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. John Wylder Dubose allows following entities to bill medicare on his behalf.
| Entity Name | Carolinas Physicians Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819 |
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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. John Wylder Dubose 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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John Wylder Dubose, MD
Po Box 19305,
Charlotte, NC 28219-9305
Ph: () - | John Wylder Dubose, MD
215 S Main St, Ste 100,
Mount Holly, NC 28120-1620
Ph: (704) 302-8555 |
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