Jamal Porter Jr, NP in Mooresville, NC - Medicare Nurse Practitioner

Jamal Porter Jr, NP is a medicare enrolled "Nurse Practitioner - Family" in Mooresville, North Carolina. His current practice location is 249 Williamson Rd Ste 101, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 981-0044.

Jamal Porter Jr is licensed to practice in North Carolina (license number PORT-KW3AY) 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 1487225686.

Contact Information

	Jamal Porter Jr, NP
	249 Williamson Rd Ste 101, Mooresville, NC 28117-6863
	(704) 981-0044
	Not Available

Map and Direction

Provider's Profile

Full Name	Jamal Porter Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	249 Williamson Rd Ste 101, Mooresville, 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: 1487225686
Provider Enumeration Date: 07/08/2021
Last Update Date: 09/01/2021

Medicare PECOS Information:

PECOS PAC ID: 4284018946
Enrollment ID: I20220829003454

Medical Identifiers

Medical identifiers for Jamal Porter Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487225686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	PORT-KW3AY (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. Jamal Porter Jr allows following entities to bill medicare on his behalf.

Entity Name	Emergency Coverage Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503

Entity Name	Carolina Quickcare Family Practice, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881360899 PECOS PAC ID: 0840682340 Enrollment ID: O20220113000087

Entity Name	Ivx Health Of North Carolina P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376290239 PECOS PAC ID: 2264812866 Enrollment ID: O20220628003791

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. Jamal Porter 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 Address	Practice Location Address
Jamal Porter Jr, NP 249 Williamson Rd Ste 101, Mooresville, NC 28117-6863 Ph: (704) 981-0044	Jamal Porter Jr, NP 249 Williamson Rd Ste 101, Mooresville, NC 28117-6863 Ph: (704) 981-0044

Reviews and Comments

Nurse Practitioner Nurses in Mooresville, NC

Erin Abbey Gray, FPN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd, Suite # 303, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-696-2929
Marykay Holt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101
Mrs. Deborah O'neil Speaks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 559 River Hwy, Mooresville, NC 28117 Phone: 704-663-3438
Kristin Lea Rice, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Medical Park Rd Ste 200, Mooresville, NC 28117 Phone: 704-696-2085
Amy Andersen Bush, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd Ste 101, Mooresville, NC 28117 Phone: 980-302-7070 Fax: 980-302-7075
Dawn Marie Cahn, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 137 Shavender Dr, Mooresville, NC 28117 Phone: 203-856-0745
Elizabeth Rudisill Hayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Argus Ln Ste G, Mooresville, NC 28117 Phone: 704-660-4362 Fax: 704-660-0442

Jamal Porter Jr, NP - Medicare Nurse Practitioner in Mooresville, NC