Mr Mark Wayne Gregson, FNP is a medicare enrolled "Nurse Practitioner" in Walkertown, North Carolina. His current practice location is
3431 Walkertown Commons Dr, Walkertown, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 564-4101.
Mr Mark Wayne Gregson is licensed to practice in North Carolina (license number 5016397) 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 1942931209.
Provider's Profile
| Full Name | Mr Mark Wayne Gregson |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 3431 Walkertown Commons Dr, Walkertown, 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: 1942931209
- Provider Enumeration Date: 06/17/2022
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971987272
- Enrollment ID: I20230705000072
Medical Identifiers
Medical identifiers for Mr Mark Wayne Gregson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942931209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 271678 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5016397 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5016397 (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 Mark Wayne Gregson 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 |
|---|
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 Mark Wayne Gregson 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 Mark Wayne Gregson, FNP
Po Box 60447,
Charlotte, NC 28260-0447
Ph: () - | Mr Mark Wayne Gregson, FNP
3431 Walkertown Commons Dr,
Walkertown, NC 27051-9152
Ph: (336) 564-4101 |
Reviews and Comments