Thomas Lee Duncan, MD - Medicare Family Medicine in Highlands, NC

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Thomas Lee Duncan, MD is a medicare enrolled "Family Medicine" physician in Highlands, North Carolina. His current practice location is 209 Hospital Dr, Suite 303, Highlands, North Carolina. You can reach out to his office (for appointments etc.) via phone at (828) 526-4942.

Thomas Lee Duncan is licensed to practice in North Carolina (license number 2013-00914) 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 1750377651.

Contact Information

Thomas Lee Duncan, MD
209 Hospital Dr, Suite 303,
Highlands, NC 28741-7616
(828) 526-4942
(828) 526-9218

Map and Direction




Physician's Profile

Full NameThomas Lee Duncan
GenderMale
SpecialityFamily Medicine
Location209 Hospital Dr, Highlands, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750377651
  • Provider Enumeration Date: 09/26/2005
  • Last Update Date: 03/24/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6608892724
  • Enrollment ID: I20130903000057

Medical Identifiers

Medical identifiers for Thomas Lee Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750377651NPI-NPPES
1750377651MedicaidNC
NCD510A194OtherNCMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 23031 (Iowa)Secondary
207Q00000XFamily Medicine 2013-00914 (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 Lee Duncan allows following entities to bill medicare on his behalf.
Entity NameHighlands-cashiers Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922456763
PECOS PAC ID: 2264331461
Enrollment ID: O20040109000460
Entity NameHighlands-cashiers Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851685051
PECOS PAC ID: 6103096433
Enrollment ID: O20110824000544

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 Lee Duncan 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 Lee Duncan, MD
Po Box 602373,
Charlotte, NC 28260-2373

Ph: (828) 526-1280		Thomas Lee Duncan, MD
209 Hospital Dr, Suite 303,
Highlands, NC 28741-7616

Ph: (828) 526-4942

Reviews and Comments


Family Medicine Doctors in Highlands, NC

Patti Beard Wheeler, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 209 Hospital Dr, Suite 104, Highlands, NC 28741
Phone: 828-526-4346    Fax: 828-526-2914
Dr. Paul Richard Olson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1029 Hicks Rd, Highlands, NC 28741
Phone: 828-526-4346    
Dr. John Scott Baker, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 479 South Street, Suite 3, Highlands, NC 28741
Phone: 828-526-1700    Fax: 828-787-2451
Kristy Nicole Fincher, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 209 Hospital Dr, Highlands, NC 28741
Phone: 828-482-6160    Fax: 828-482-5380
Mrs. Ann H Davis, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 209 Hospital Dr, Highlands, NC 28741
Phone: 828-482-6160    Fax: 828-482-5380

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.