Penny J0 Hamilton-gaertner, MD - Medicare Emergency Medicine in Raleigh, NC

Penny J0 Hamilton-gaertner, MD is a medicare enrolled "Emergency Medicine" physician in Raleigh, North Carolina. She went to Duke University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Prisma Health Medical Group-midlands and her current practice location is 3000 New Bern Ave, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 237-3378.

Penny J0 Hamilton-gaertner is licensed to practice in North Carolina (license number 9701384) 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 1205899093.

Contact Information

Penny J0 Hamilton-gaertner, MD
3000 New Bern Ave,
Raleigh, NC 27610-1231
(843) 237-3378
(843) 237-5073

Map and Direction




Physician's Profile

Full NamePenny J0 Hamilton-gaertner
GenderFemale
SpecialityEmergency Medicine
Experience28 Years
Location3000 New Bern Ave, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Penny J0 Hamilton-gaertner attended and graduated from Duke University School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1205899093
  • Provider Enumeration Date: 04/11/2006
  • Last Update Date: 04/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193786754
  • Enrollment ID: I20240507000501

Medical Identifiers

Medical identifiers for Penny J0 Hamilton-gaertner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205899093NPI-NPPES
930076007OtherNCRAILROAD
8911661MedicaidNC
11661OtherNCBCBS
Q0138AMedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 91728 (South Carolina)Secondary
207P00000XEmergency Medicine 9701384 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wakemed, Raleigh CampusRaleigh, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health Medical Group-midlands5991099707881

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. Penny J0 Hamilton-gaertner allows following entities to bill medicare on her behalf.
Entity NamePrisma Health Medical Group-midlands
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226

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. Penny J0 Hamilton-gaertner 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
Penny J0 Hamilton-gaertner, MD
Po Box 60968,
Charlotte, NC 28260-0968

Ph: (843) 237-3378
Penny J0 Hamilton-gaertner, MD
3000 New Bern Ave,
Raleigh, NC 27610-1231

Ph: (843) 237-3378

Reviews and Comments


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James M Merritt, MD
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Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 843-237-3378    Fax: 843-237-5073

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.