Haley Dickerson Upchurch, - Medicare Nurse Practitioner in Farmville, NC

  1. Home
  2. Nurse Practitioner
  3. NC
  4. Farmville
Haley Dickerson Upchurch, is a medicare enrolled "Nurse Practitioner" in Farmville, North Carolina. Her current practice location is 3485 N Main St, Farmville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 753-3193.

Haley Dickerson Upchurch is licensed to practice in North Carolina (license number 5017599) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598461386.

Contact Information

Haley Dickerson Upchurch,
3485 N Main St,
Farmville, NC 27828-1466
(252) 753-3193
Not Available

Map and Direction




Provider's Profile

Full NameHaley Dickerson Upchurch
GenderFemale
SpecialityNurse Practitioner
Location3485 N Main St, Farmville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598461386
  • Provider Enumeration Date: 02/02/2023
  • Last Update Date: 02/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163877655
  • Enrollment ID: I20231018004140

Medical Identifiers

Medical identifiers for Haley Dickerson Upchurch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598461386NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5017599 (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. Haley Dickerson Upchurch allows following entities to bill medicare on her behalf.
Entity NameFarmville Internal Medicine Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710942610
PECOS PAC ID: 8325037575
Enrollment ID: O20040511001545

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. Haley Dickerson Upchurch 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
Haley Dickerson Upchurch,
4366 Nc Highway 39 S,
Louisburg, NC 27549-8692

Ph: (919) 729-4194		Haley Dickerson Upchurch,
3485 N Main St,
Farmville, NC 27828-1466

Ph: (252) 753-3193

Reviews and Comments


Nurse Practitioner Nurses in Farmville, NC

Charlotte Whitehurst Goodwyn, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3485 N. Main Street, Farmville, NC 27858
Phone: 252-753-3193    
Whitney Elvis, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3681 N Main St, Farmville, NC 27828
Phone: 252-753-7141    Fax: 252-753-5834
Jody Lynn Holtz, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3681 N Main St, Farmville, NC 27828
Phone: 252-753-7141    Fax: 252-753-5834

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.