Mr Thomas Joyner Haddock Iii, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ayden, North Carolina. His current practice location is
137 Third St, Ayden, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 746-3116.
Mr Thomas Joyner Haddock Iii is licensed to practice in North Carolina (license number 5016606) 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 1255067872.
Provider's Profile
Full Name | Mr Thomas Joyner Haddock Iii |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 137 Third St, Ayden, 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: 1255067872
- Provider Enumeration Date: 07/26/2022
- Last Update Date: 08/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527434612
- Enrollment ID: I20221013003623
Medical Identifiers
Medical identifiers for Mr Thomas Joyner Haddock Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255067872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 5016606 (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 Thomas Joyner Haddock Iii allows following entities to bill medicare on his behalf.
Entity Name | Pitt Family Physicians Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578638078 PECOS PAC ID: 4688716178 Enrollment ID: O20100121000562 |
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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. Mr Thomas Joyner Haddock Iii 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 Thomas Joyner Haddock Iii, FNP 137 Third St, Ayden, NC 28513-7252 Ph: (252) 746-3116 | Mr Thomas Joyner Haddock Iii, FNP 137 Third St, Ayden, NC 28513-7252 Ph: (252) 746-3116 |
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