William John Edmiston Jr, MD - Medicare Pain Management in Mooresville, NC

  1. Home
  2. Pain Medicine
  3. NC
  4. Mooresville
William John Edmiston Jr, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Mooresville, North Carolina. He graduated from medical school in 1991 and has 34 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Iredell Physician Network Llc and his current practice location is 170 Medical Park Rd, Suite 301, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 360-4378.

William John Edmiston Jr is licensed to practice in North Carolina (license number 200000410) 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 1053420190.

Contact Information

William John Edmiston Jr, MD
170 Medical Park Rd, Suite 301,
Mooresville, NC 28117-8540
(704) 360-4378
(704) 696-8150

Map and Direction




Physician's Profile

Full NameWilliam John Edmiston Jr
GenderMale
SpecialityPain Management
Experience34 Years
Location170 Medical Park Rd, Mooresville, 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:
  • William John Edmiston Jr graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1053420190
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759416050
  • Enrollment ID: I20100311000678

Medical Identifiers

Medical identifiers for William John Edmiston Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053420190NPI-NPPES
891269NMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 200000410 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Iredell Memorial Hospital IncStatesville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iredell Physician Network Llc074934500766

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. William John Edmiston Jr allows following entities to bill medicare on his behalf.
Entity NameIredell Physician Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811381593
PECOS PAC ID: 0749345007
Enrollment ID: O20090219000651
Entity NameInterventional Pain Management Of Lake Norman Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992003339
PECOS PAC ID: 7810167988
Enrollment ID: O20110826000677

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. William John Edmiston Jr 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
William John Edmiston Jr, MD
170 Medical Park Rd, Suite 301,
Mooresville, NC 28117-8540

Ph: (704) 360-4378		William John Edmiston Jr, MD
170 Medical Park Rd, Suite 301,
Mooresville, NC 28117-8540

Ph: (704) 360-4378

Reviews and Comments


Pain Medicine Doctors in Mooresville, NC

Dr. Patrick Jacques Laguerre, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 146 Medical Park Road, Suite 108, Mooresville, NC 28117
Phone: 704-662-0877    Fax: 704-662-0875
Mark C Hines, MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 170 Medical Park Rd, Suite 310, Mooresville, NC 28117
Phone: 704-360-2260    Fax: 704-360-2274

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.