Thomas Gansman, MD - Medicare Emergency Medicine in Statesville, NC

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Thomas Gansman, MD is a medicare enrolled "Emergency Medicine" physician in Statesville, North Carolina. His current practice location is 557 Brookdale Dr, Statesville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (317) 502-9920.

Thomas Gansman is licensed to practice in North Carolina (license number 2012-00515) 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 1023024569.

Contact Information

Thomas Gansman, MD
557 Brookdale Dr,
Statesville, NC 28677-4107
(317) 502-9920
Not Available

Map and Direction




Physician's Profile

Full NameThomas Gansman
GenderMale
SpecialityEmergency Medicine
Location557 Brookdale Dr, Statesville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023024569
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 09/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1153213988
  • Enrollment ID: I20101013000181

Medical Identifiers

Medical identifiers for Thomas Gansman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023024569NPI-NPPES
200205180MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2012-00515 (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. Thomas Gansman allows following entities to bill medicare on his behalf.
Entity NameLafayette Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891741641
PECOS PAC ID: 9931172863
Enrollment ID: O20040818000317
Entity NameIcem-wishard Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629304134
PECOS PAC ID: 8224162441
Enrollment ID: O20100810000590

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. Thomas Gansman 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
Thomas Gansman, MD
147 E Cold Hollow Farms Dr,
Mooresville, NC 28117-6725

Ph: (317) 502-9920		Thomas Gansman, MD
557 Brookdale Dr,
Statesville, NC 28677-4107

Ph: (317) 502-9920

Reviews and Comments


Emergency Medicine Doctors in Statesville, NC

Jonathan Torres,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 557 Brookdale Dr, Statesville, NC 28677
Phone: 704-437-0429    

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.