Acquawon Jean Stallworth, MD in Salisbury, NC

Acquawon Jean Stallworth, MD is a medicare enrolled "Family Medicine" physician in Salisbury, North Carolina. She went to Medical College Of Georgia School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Novant Medical Group Inc and her current practice location is 1904 Jake Alexander Blvd W Ste 301, Salisbury, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 797-2442.

Acquawon Jean Stallworth is licensed to practice in North Carolina (license number 2001-00610) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336135623.

Contact Information

	Acquawon Jean Stallworth, MD
	1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147-1177
	(704) 797-2442
	(704) 797-2443

Map and Direction

Physician's Profile

Full Name	Acquawon Jean Stallworth
Gender	Female
Speciality	Family Practice
Experience	26 Years
Location	1904 Jake Alexander Blvd W Ste 301, Salisbury, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Acquawon Jean Stallworth attended and graduated from Medical College Of Georgia School Of Medicine in 1998

NPI Data:

NPI Number: 1336135623
Provider Enumeration Date: 09/22/2005
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 9638237928
Enrollment ID: I20081014000782

Medical Identifiers

Medical identifiers for Acquawon Jean Stallworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336135623	NPI	-	NPPES
89129PP	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2001-00610 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advanced Home Care	Salisbury, NC	Home health agency
Gentiva Health Services	Kernersville, NC	Home health agency
Novant Health Rowan Medical Center	Salisbury, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	2023

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. Acquawon Jean Stallworth allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Nh Digital Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Acquawon Jean Stallworth 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
Acquawon Jean Stallworth, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Acquawon Jean Stallworth, MD 1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147-1177 Ph: (704) 797-2442

Reviews and Comments

Family Medicine Doctors in Salisbury, NC

Mrs. Desiree B Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Woodson St Ste A, Salisbury, NC 28144 Phone: 704-639-0097 Fax: 704-639-1389
Dr. Gary Wardner Sims, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000
Daniel Lee Holland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515
Bradford Pearce Grimm, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515
Benjamin Thomas Ott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Julian Rd, Salisbury, NC 28147 Phone: 704-637-3373 Fax: 705-637-0069
Dr. Chetan N Amin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 W Innes St Ste B, Salisbury, NC 28144 Phone: 704-636-5626 Fax: 704-636-5641
Dr. Cecil Murray Farrington, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 860 Jake Alexander Blvd W, Salisbury, NC 28147 Phone: 704-637-1123 Fax: 704-637-1214

Acquawon Jean Stallworth, MD - Medicare Family Practice in Salisbury, NC