Travis Blake Adams, in Gastonia, NC - Medicare Nurse Practitioner

Travis Blake Adams, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gastonia, North Carolina. His current practice location is 3257 Yarmouth Ln, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 813-3643.

Travis Blake Adams is licensed to practice in North Carolina (license number 5020249) 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 1154189538.

Contact Information

	Travis Blake Adams,
	3257 Yarmouth Ln, Gastonia, NC 28056-7875
	(704) 813-3643
	Not Available

Map and Direction

Provider's Profile

Full Name	Travis Blake Adams
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3257 Yarmouth Ln, Gastonia, 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: 1154189538
Provider Enumeration Date: 03/11/2024
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 3678014065
Enrollment ID: I20240925003457

Medical Identifiers

Medical identifiers for Travis Blake Adams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154189538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	287014 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5020249 (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. Travis Blake Adams allows following entities to bill medicare on his behalf.

Entity Name	Caldwell Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477839108 PECOS PAC ID: 5395646970 Enrollment ID: O20040116000355

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. Travis Blake Adams 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
Travis Blake Adams, 3257 Yarmouth Ln, Gastonia, NC 28056-7875 Ph: (704) 813-3643	Travis Blake Adams, 3257 Yarmouth Ln, Gastonia, NC 28056-7875 Ph: (704) 813-3643

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274
Mrs. Cecilia Apau-kese, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1282 Audubon Dr, Gastonia, NC 28054 Phone: 704-718-4150

Travis Blake Adams, - Medicare Nurse Practitioner in Gastonia, NC