Teirraha Channel Lowe, is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Mount Airy, North Carolina. Her current practice location is
113 Scenic Outlet Ln Ste 2, Mount Airy, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 352-4900.
Teirraha Channel Lowe is licensed to practice in North Carolina (license number 5012909) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124652433.
Physician's Profile
Full Name | Teirraha Channel Lowe |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 113 Scenic Outlet Ln Ste 2, Mount Airy, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124652433
- Provider Enumeration Date: 02/25/2020
- Last Update Date: 06/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 4082037874
- Enrollment ID: I20200713002210
Medical Identifiers
Medical identifiers for Teirraha Channel Lowe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124652433 | NPI | - | NPPES |
5012909 | Other | NC | NCBON |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 5012909 (North Carolina) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 5012909 (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. Teirraha Channel Lowe allows following entities to bill medicare on her behalf.
Entity Name | Challie A Minton |
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Entity Type | Practitioner - Family Practice |
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Entity Identifiers | NPI Number: 1831392174 PECOS PAC ID: 7315089265 Enrollment ID: I20100115000257 |
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Entity Name | Challie Minton, Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790298024 PECOS PAC ID: 5597180802 Enrollment ID: O20200804001324 |
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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. Teirraha Channel Lowe 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 |
Teirraha Channel Lowe, 113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030-9978 Ph: () - | Teirraha Channel Lowe, 113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030-9978 Ph: (336) 352-4900 |
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