Jillian Gray Patton, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fleetwood, North Carolina. Her current practice location is
1729 Cranberry Springs Rd, Fleetwood, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(540) 450-7795.
Jillian Gray Patton is licensed to practice in Tennessee (license number 32658) 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 1346965134.
Provider's Profile
Full Name | Jillian Gray Patton |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1729 Cranberry Springs Rd, Fleetwood, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346965134
- Provider Enumeration Date: 10/05/2022
- Last Update Date: 09/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880059195
- Enrollment ID: I20230420000347
Medical Identifiers
Medical identifiers for Jillian Gray Patton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346965134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 32658 (Tennessee) | 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. Jillian Gray Patton allows following entities to bill medicare on her behalf.
Entity Name | Tri-cities Regional Emergency Physicians, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
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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. Jillian Gray Patton 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 |
Jillian Gray Patton, FNP-BC 1729 Cranberry Springs Rd, Fleetwood, NC 28626-9851 Ph: (540) 450-7795 | Jillian Gray Patton, FNP-BC 1729 Cranberry Springs Rd, Fleetwood, NC 28626-9851 Ph: (540) 450-7795 |
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