Mr John Hudson Fillmore, FNP in Shallotte, NC

Mr John Hudson Fillmore, FNP is a medicare enrolled "Nurse Practitioner" in Shallotte, North Carolina. His current practice location is 640 Whiteville Rd Nw, Shallotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 754-4441.

Mr John Hudson Fillmore is licensed to practice in North Carolina (license number 200786) 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 1003889080.

Contact Information

	Mr John Hudson Fillmore, FNP
	640 Whiteville Rd Nw, Shallotte, NC 28470-6503
	(910) 754-4441
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr John Hudson Fillmore
Gender	Male
Speciality	Nurse Practitioner
Location	640 Whiteville Rd Nw, Shallotte, 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: 1003889080
Provider Enumeration Date: 02/09/2006
Last Update Date: 07/31/2024

Medicare PECOS Information:

PECOS PAC ID: 1153316203
Enrollment ID: I20040417000404

Medical Identifiers

Medical identifiers for Mr John Hudson Fillmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003889080	NPI	-	NPPES
7005644	Medicaid	NC
0131P	Other		BLUE CROSS BLUE SHIELD
P00188452	Other		RAILROAD MEDICARE
2592037	Other		CIGNA MEDICARE
348906A	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	200786 (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. Mr John Hudson Fillmore allows following entities to bill medicare on his behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679528384 PECOS PAC ID: 1153234893 Enrollment ID: O20060828000304

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. Mr John Hudson Fillmore 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
Mr John Hudson Fillmore, FNP Po Box 60447, Charlotte, NC 28260-0447 Ph: (910) 754-4441	Mr John Hudson Fillmore, FNP 640 Whiteville Rd Nw, Shallotte, NC 28470-6503 Ph: (910) 754-4441

Reviews and Comments

Nurse Practitioner Nurses in Shallotte, NC

Elizabeth Barton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3640 Express Dr, Shallotte, NC 28470 Phone: 910-755-5222
Jennifer Louise Percival, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441
Hannah Nicholson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4503 Main St Ste 1, Shallotte, NC 28470 Phone: 910-754-2273 Fax: 910-754-2254
Heidi Ann Schroeder, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 341 Whiteville Rd Nw, Shallotte, NC 28470 Phone: 877-935-5255 Fax: 910-236-2118
Nicole Marie Ely, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 237 Mulberry St, Shallotte, NC 28470 Phone: 910-754-8858
Nancy Lee Murdock, DNP FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4748 Main Street, Shallotte, NC 28470 Phone: 910-754-2273 Fax: 910-754-2254

Mr John Hudson Fillmore, FNP - Medicare Nurse Practitioner in Shallotte, NC