Charles Gray Shore, FNP-C in Cary, NC - Medicare Nurse Practitioner

Charles Gray Shore, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Cary, North Carolina. His current practice location is 2797 Nc 55 Hwy, Cary, North Carolina. You can reach out to his office (for appointments etc.) via phone at (866) 389-2727.

Charles Gray Shore is licensed to practice in North Carolina (license number 5005420) 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 1932486222.

Contact Information

	Charles Gray Shore, FNP-C
	2797 Nc 55 Hwy, Cary, NC 27519-6206
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Charles Gray Shore
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2797 Nc 55 Hwy, Cary, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932486222
Provider Enumeration Date: 11/15/2011
Last Update Date: 04/28/2017

Medicare PECOS Information:

PECOS PAC ID: 6901071158
Enrollment ID: I20111216000141

Medical Identifiers

Medical identifiers for Charles Gray Shore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932486222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5005420 (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. Charles Gray Shore allows following entities to bill medicare on his behalf.

Entity Name	Minuteclinic Diagnostic Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699748608 PECOS PAC ID: 6002837572 Enrollment ID: O20051212000719

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. Charles Gray Shore 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
Charles Gray Shore, FNP-C 145 Petree Rd, Winston Salem, NC 27106-4401 Ph: (866) 579-5103	Charles Gray Shore, FNP-C 2797 Nc 55 Hwy, Cary, NC 27519-6206 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Cary, NC

Charity Grant Mcdaniel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Westover Hills Dr, Cary, NC 27513 Phone: 501-266-4317
Kathryn V Banks, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Ridge View Dr, Cary, NC 27511 Phone: 919-467-5543
Stephanie Evette Kilburn, DNP, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Crescent Grn Ste 102, Cary, NC 27518 Phone: 919-897-5999
Mrs. Mary Elizabeth Simmons-sherlock, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Ashville Ave, Cary, NC 27518 Phone: 919-235-6460
Dr. Mariah Laliberte Carey, DNP, BSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 Sw Cary Pkwy Ste 200, Cary, NC 27511 Phone: 919-387-3176
Patricia Brown-prestia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 New Waverly Pl, Suite 200, Cary, NC 27518 Phone: 919-467-5941 Fax: 919-655-0532
Mrs. Kimberly Rae Stalnaker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Brady Ct, Cary, NC 27511 Phone: 919-526-0558 Fax: 910-967-6084

Charles Gray Shore, FNP-C - Medicare Nurse Practitioner in Cary, NC