Ms Sally J Chapin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Broadway, North Carolina. She graduated from nursing school in 1987 and has 37 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dlp Central Carolina Medical Group Llc and her current practice location is
101 Church St, Broadway, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 774-6023.
Ms Sally J Chapin is licensed to practice in North Carolina (license number 200718) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124029954.
Provider's Profile
| Full Name | Ms Sally J Chapin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 37 Years |
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| Location | 101 Church St, Broadway, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Sally J Chapin graduated from nursing school in 1987
NPI Data:
- NPI Number: 1124029954
- Provider Enumeration Date: 08/02/2005
- Last Update Date: 02/24/2017
Medicare PECOS Information:
- PECOS PAC ID: 7214066968
- Enrollment ID: I20100519000091
Medical Identifiers
Medical identifiers for Ms Sally J Chapin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124029954 | NPI | - | NPPES |
| 1124029954 | Other | NC | BCBS MEDICARE ADVANTAGE |
| 7000814 | Medicaid | NC | |
| FH4001300 | Other | NC | FIRST MEDICARE DIRECT |
| FH4001300 | Other | NC | FIRST CAROLINA CARE, INC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 200718 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dlp Central Carolina Medical Group Llc | 3577840420 | 29 |
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. Ms Sally J Chapin allows following entities to bill medicare on her behalf.
| Entity Name | Dlp Central Carolina Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396101689
PECOS PAC ID: 6709180656
Enrollment ID: O20160212001472 |
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| Entity Name | Dlp Central Carolina Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184163883
PECOS PAC ID: 3577840420
Enrollment ID: O20170503000867 |
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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. Ms Sally J Chapin 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 |
|---|
Ms Sally J Chapin, FNP
101 Church St,
Broadway, NC 27505-9394
Ph: (919) 774-6023 | Ms Sally J Chapin, FNP
101 Church St,
Broadway, NC 27505-9394
Ph: (919) 774-6023 |
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