Dorothy Kebaso, in Gastonia, NC - Medicare Nurse Practitioner

Dorothy Kebaso, is a medicare enrolled "Nurse Practitioner" in Gastonia, North Carolina. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Catawba Valley Medical Center, Caromont Medical Group Inc and her current practice location is 2525 Court Dr, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 834-2000.

Dorothy Kebaso is licensed to practice in North Carolina (license number 5013813) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730501214.

Contact Information

	Dorothy Kebaso,
	2525 Court Dr, Gastonia, NC 28054-2140
	(704) 834-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dorothy Kebaso
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	2525 Court Dr, Gastonia, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dorothy Kebaso graduated from nursing school in 2020

NPI Data:

NPI Number: 1730501214
Provider Enumeration Date: 01/17/2014
Last Update Date: 02/25/2021

Medicare PECOS Information:

PECOS PAC ID: 2769897594
Enrollment ID: I20210209001052

Medical Identifiers

Medical identifiers for Dorothy Kebaso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730501214	NPI	-	NPPES
1730501214	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	265899 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5013813 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5013813 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caromont Regional Medical Center	Gastonia, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Catawba Valley Medical Center	0547178907	80
Caromont Medical Group Inc	3577476258	347

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. Dorothy Kebaso allows following entities to bill medicare on her behalf.

Entity Name	Caromont Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070

Entity Name	Catawba Valley Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497792469 PECOS PAC ID: 0547178907 Enrollment ID: O20040127000109

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. Dorothy Kebaso 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
Dorothy Kebaso, 2525 Court Dr, Gastonia, NC 28054-2140 Ph: (704) 834-2000	Dorothy Kebaso, 2525 Court Dr, Gastonia, NC 28054-2140 Ph: (704) 834-2000

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274
Mrs. Cecilia Apau-kese, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1282 Audubon Dr, Gastonia, NC 28054 Phone: 704-718-4150

Dorothy Kebaso, - Medicare Nurse Practitioner in Gastonia, NC