Matthew Bryan Spudy, FNP is a medicare enrolled "Nurse Practitioner" in Rocky Point, North Carolina. His current practice location is
7910 Us Hwy 117 S Unit 120, Rocky Point, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 300-4500.
Matthew Bryan Spudy is licensed to practice in North Carolina (license number 5020522) 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 1821826595.
Provider's Profile
| Full Name | Matthew Bryan Spudy |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 7910 Us Hwy 117 S Unit 120, Rocky Point, 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. |
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NPI Data:
- NPI Number: 1821826595
- Provider Enumeration Date: 07/24/2024
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103350293
- Enrollment ID: I20241112002926
Medical Identifiers
Medical identifiers for Matthew Bryan Spudy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821826595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 5020522 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | 5020522 (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. Matthew Bryan Spudy allows following entities to bill medicare on his behalf.
| Entity Name | Novant Health Medical Group Coastal Region Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649865791
PECOS PAC ID: 2860809936
Enrollment ID: O20210408000285 |
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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. Matthew Bryan Spudy 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 |
|---|
Matthew Bryan Spudy, FNP
Po Box 936857,
Atlanta, GA 31193-6857
Ph: (910) 300-4500 | Matthew Bryan Spudy, FNP
7910 Us Hwy 117 S Unit 120,
Rocky Point, NC 28457-7409
Ph: (910) 300-4500 |
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