Kevin C Addison, MD in Mooresville, NC

Kevin C Addison, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Mooresville, North Carolina. His current practice location is 171 Fairview Rd, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 660-4390.

Kevin C Addison is licensed to practice in North Carolina (license number 2006-00447) 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 1295750651.

Contact Information

	Kevin C Addison, MD
	171 Fairview Rd, Mooresville, NC 28117-9500
	(704) 660-4390
	(704) 660-4399

Map and Direction

Physician's Profile

Full Name	Kevin C Addison
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	171 Fairview Rd, Mooresville, 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: 1295750651
Provider Enumeration Date: 07/13/2006
Last Update Date: 08/31/2021

Medicare PECOS Information:

PECOS PAC ID: 1557361490
Enrollment ID: I20100512000066

Medical Identifiers

Medical identifiers for Kevin C Addison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295750651	NPI	-	NPPES
5904803	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	0101272440 (Virginia)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	2006-00447 (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. Kevin C Addison allows following entities to bill medicare on his behalf.

Entity Name	Mooresville Ppm Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700028982 PECOS PAC ID: 3577614791 Enrollment ID: O20090630000206

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. Kevin C Addison 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
Kevin C Addison, MD 171 Fairview Rd, Mooresville, NC 28117-9500 Ph: (704) 660-4390	Kevin C Addison, MD 171 Fairview Rd, Mooresville, NC 28117-9500 Ph: (704) 660-4390

Reviews and Comments

Pediatrics Doctors in Mooresville, NC

Laura Therese Recchi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 136 Gateway Blvd Ste A, Mooresville, NC 28117 Phone: 704-799-2878 Fax: 704-799-1627
Elizabeth Ellen Tilt, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 511 Lisa Carol Dr, Mooresville, NC 28115 Phone: 704-651-3907
Gianna Demos Madrid, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 656 Carpenter Ave, Mooresville, NC 28115 Phone: 704-664-5133 Fax: 704-799-6356
Dr. Stephen James Malloney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 134 Medical Park Rd Ste 100, Mooresville, NC 28117 Phone: 704-662-0106 Fax: 808-290-6369
Shelley H. Rinker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 133 Welton Way, Suite C, Mooresville, NC 28117 Phone: 704-664-2552 Fax: 704-664-5382
Lisa Schroepfer Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 136 Gateway Blvd Ste A, Mooresville, NC 28117 Phone: 704-799-2878 Fax: 704-799-1627
Amy Poteat Ferguson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 656 Carpenter Ave, Mooresville, NC 28115 Phone: 704-664-5133

Kevin C Addison, MD - Medicare Pediatrics in Mooresville, NC