Mr Powell Russ Proctor, FNP in Morganton, NC - Medicare Nurse Practitioner

Mr Powell Russ Proctor, FNP is a medicare enrolled "Nurse Practitioner - Family" in Morganton, North Carolina. His current practice location is 695 W Fleming Dr, Morganton, North Carolina. You can reach out to his office (for appointments etc.) via phone at (828) 580-3278.

Mr Powell Russ Proctor is licensed to practice in North Carolina (license number 5012226) 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 1992354310.

Contact Information

	Mr Powell Russ Proctor, FNP
	695 W Fleming Dr, Morganton, NC 28655-4450
	(828) 580-3278
	(828) 580-3279

Map and Direction

Provider's Profile

Full Name	Mr Powell Russ Proctor
Gender	Male
Speciality	Nurse Practitioner - Family
Location	695 W Fleming Dr, Morganton, 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: 1992354310
Provider Enumeration Date: 09/09/2019
Last Update Date: 03/03/2022

Medicare PECOS Information:

PECOS PAC ID: 9830421197
Enrollment ID: I20191106000913

Medical Identifiers

Medical identifiers for Mr Powell Russ Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992354310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5012226 (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 Powell Russ Proctor allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467993931 PECOS PAC ID: 9436159712 Enrollment ID: O20070110000601

Entity Name	Mainstreet And Kidsstreet Of North Carolina Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144803040 PECOS PAC ID: 6901290238 Enrollment ID: O20220302000414

Entity Name	Fast Pace Kentucky, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609634633 PECOS PAC ID: 0143525998 Enrollment ID: O20240619000807

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 Powell Russ Proctor 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 Powell Russ Proctor, FNP 695 W Fleming Dr, Morganton, NC 28655-4450 Ph: (828) 580-3278	Mr Powell Russ Proctor, FNP 695 W Fleming Dr, Morganton, NC 28655-4450 Ph: (828) 580-3278

Reviews and Comments

Nurse Practitioner Nurses in Morganton, NC

Mrs. Isabel Francisco, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Parker Rd, Morganton, NC 28655 Phone: 828-212-4181
Mrs. Sharon Alene Welborn, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 619 W Union St, Morganton, NC 28655 Phone: 828-502-3319
Lisa L Mull, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2209 S Sterling St Ste 300, Morganton, NC 28655 Phone: 828-580-4010 Fax: 828-580-4009
Mrs. Misty D. Houston, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 S Green St, Morganton, NC 28655 Phone: 828-438-1125 Fax: 828-438-1119
April Nicole Claunch, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Medical Heights Dr, Morganton, NC 28655 Phone: 828-437-4211 Fax: 828-437-0629
Clarissa Dawn Crooks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Heights Drive, Morganton, NC 28655 Phone: 828-439-2929 Fax: 828-433-4608
Ms. Sandra Bradley Baden, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Foothills Dr, Morganton, NC 28655 Phone: 828-438-4683 Fax: 828-438-4608

Mr Powell Russ Proctor, FNP - Medicare Nurse Practitioner in Morganton, NC