Mrs Jalysa Gavin, FNP-C in Goldsboro, NC - Medicare Nurse Practitioner

Mrs Jalysa Gavin, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Goldsboro, North Carolina. Her current practice location is 204 Malloy St Ste A, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 751-7665.

Mrs Jalysa Gavin is licensed to practice in North Carolina (license number 5012334) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972154318.

Contact Information

	Mrs Jalysa Gavin, FNP-C
	204 Malloy St Ste A, Goldsboro, NC 27534-4477
	(919) 751-7665
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jalysa Gavin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	204 Malloy St Ste A, Goldsboro, 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: 1972154318
Provider Enumeration Date: 09/26/2019
Last Update Date: 09/26/2019

Medicare PECOS Information:

PECOS PAC ID: 2860824422
Enrollment ID: I20200422002747

Medical Identifiers

Medical identifiers for Mrs Jalysa Gavin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972154318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5012334 (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. Mrs Jalysa Gavin allows following entities to bill medicare on her behalf.

Entity Name	Van L. Adams M. D., Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124460514 PECOS PAC ID: 4082840715 Enrollment ID: O20131202000353

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. Mrs Jalysa Gavin 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
Mrs Jalysa Gavin, FNP-C 2905 Oakwood Dr, Winterville, NC 28590-8067 Ph: (910) 441-8652	Mrs Jalysa Gavin, FNP-C 204 Malloy St Ste A, Goldsboro, NC 27534-4477 Ph: (919) 751-7665

Reviews and Comments

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Mrs. Lauren Lancaster, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2609 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-1779
Mrs. Jennifer Potter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-736-1110
Ronnie Elaine Edmundson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-4736 Fax: 919-580-1017
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Mrs Jalysa Gavin, FNP-C - Medicare Nurse Practitioner in Goldsboro, NC