Mr Gary David Waldman, MD - Medicare Dermatology in Charlotte, NC

Mr Gary David Waldman, MD is a medicare enrolled "Dermatology" physician in Charlotte, North Carolina. His current practice location is 10512 Park Rd, Suite 113, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 542-8018.

Mr Gary David Waldman is licensed to practice in North Carolina (license number 26610) 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 1487615795.

Contact Information

Mr Gary David Waldman, MD
10512 Park Rd, Suite 113,
Charlotte, NC 28210-8469
(704) 542-8018
(704) 542-7147

Map and Direction




Physician's Profile

Full NameMr Gary David Waldman
GenderMale
SpecialityDermatology
Location10512 Park Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487615795
  • Provider Enumeration Date: 03/29/2006
  • Last Update Date: 04/03/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5193769289
  • Enrollment ID: I20100217000241

Medical Identifiers

Medical identifiers for Mr Gary David Waldman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487615795NPI-NPPES
7985246MedicaidNC
070009176OtherNCRAILROAD MEDICARE
85246OtherNCBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 26610 (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. Mr Gary David Waldman allows following entities to bill medicare on his behalf.
Entity NamePinnacle Dermatology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861930984
PECOS PAC ID: 8628353380
Enrollment ID: O20200713001681

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. Mr Gary David Waldman 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
Mr Gary David Waldman, MD
10512 Park Rd, Suite 113,
Charlotte, NC 28210-8469

Ph: (704) 542-8018
Mr Gary David Waldman, MD
10512 Park Rd, Suite 113,
Charlotte, NC 28210-8469

Ph: (704) 542-8018

Reviews and Comments


Dermatology Doctors in Charlotte, NC

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Jonathan M Olson, MD
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Practice Location: 15830 Ballantyne Medical Pl, Suite 225, Charlotte, NC 28277
Phone: 704-919-1105    Fax: 704-910-3163

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.