Mr Kenny Charles Nall, MD - Medicare Pulmonary Disease in Washington, NC

Mr Kenny Charles Nall, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Washington, North Carolina. He went to Medical College Of Georgia School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Vidant Medical Group Llc and his current practice location is 628 E 12th St, Washington, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 974-9361.

Mr Kenny Charles Nall is licensed to practice in North Carolina (license number 9901269) 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 1710961727.

Contact Information

Mr Kenny Charles Nall, MD
628 E 12th St,
Washington, NC 27889-3409
(252) 974-9361
(252) 974-9115

Map and Direction




Physician's Profile

Full NameMr Kenny Charles Nall
GenderMale
SpecialityPulmonary Disease
Experience39 Years
Location628 E 12th St, Washington, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kenny Charles Nall attended and graduated from Medical College Of Georgia School Of Medicine in 1985
  NPI Data:
  • NPI Number: 1710961727
  • Provider Enumeration Date: 12/02/2005
  • Last Update Date: 01/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385548817
  • Enrollment ID: I20031125000638

Medical Identifiers

Medical identifiers for Mr Kenny Charles Nall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710961727NPI-NPPES
1253WOtherNCBCBS
891253WMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 9901269 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vidant Medical CenterGreenville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vidant Medical Group Llc0345343893850

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 Kenny Charles Nall allows following entities to bill medicare on his behalf.
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445
Entity NameOuter Banks Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891050357
PECOS PAC ID: 3173652096
Enrollment ID: O20100602000156

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 Kenny Charles Nall 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 Kenny Charles Nall, MD
628 E 12th St,
Washington, NC 27889-3409

Ph: (252) 974-9361
Mr Kenny Charles Nall, MD
628 E 12th St,
Washington, NC 27889-3409

Ph: (252) 974-9361

Reviews and Comments


Internal Medicine Doctors in Washington, NC

Dr. John J. Inzerillo, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1209 Brown St, Washington, NC 27889
Phone: 252-975-4308    Fax: 252-946-1540
Randal White, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 628 E 12th St, Washington, NC 27889
Phone: 252-948-4990    Fax: 252-948-4993
Imran Syed, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 628 E 12th St, Washington, NC 27889
Phone: 252-975-4100    
Richard M Young, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1380 Cowell Farm Rd, Washington, NC 27889
Phone: 252-946-2101    Fax: 252-946-9896
Deepti Ananthula, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1380 Cowell Farm Rd, Washington, NC 27889
Phone: 215-361-4854    
Melissa Anne Beretich, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 628 E 12th St, Attn James Manning, Washington, NC 27889
Phone: 252-946-0900    
Tara M Knott, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1380 Cowell Farm Road, Washington, NC 27889
Phone: 252-946-2101    Fax: 252-946-9896

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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.

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