Gastonia Medical Specialty Clinic Pa - Medicare Primary Care in Gastonia, NC

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Gastonia Medical Specialty Clinic Pa is a medicare enrolled primary clinic (Internal Medicine) in Gastonia, North Carolina. The current practice location for Gastonia Medical Specialty Clinic Pa is 1021 X Ray Dr, Gastonia, North Carolina. For appointments, you can reach them via phone at (704) 867-2341. The mailing address for Gastonia Medical Specialty Clinic Pa is 1021 X Ray Dr, Gastonia, North Carolina and phone number is (704) 867-2341.

Gastonia Medical Specialty Clinic Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1023048279. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (704) 867-2341.

Contact Information

Gastonia Medical Specialty Clinic Pa
1021 X Ray Dr
Gastonia
NC 28054-7489
(704) 867-2341
(704) 867-9019

Map and Direction


Primary Care Clinic Profile

Full NameGastonia Medical Specialty Clinic Pa
SpecialityInternal Medicine
Location1021 X Ray Dr, Gastonia, North Carolina
Authorized Official Name and PositionMikell J Jarratt (CORPORATE OFFICER - PRESIDENT)
Authorized Official Contact7048672341
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gastonia Medical Specialty Clinic Pa
1021 X Ray Dr
Gastonia
NC 28054-7489

Ph: (704) 867-2341		Gastonia Medical Specialty Clinic Pa
1021 X Ray Dr
Gastonia
NC 28054-7489

Ph: (704) 867-2341

NPI Details:

NPI Number1023048279
Provider Enumeration Date07/04/2006
Last Update Date10/08/2014

Medicare PECOS Information:

Medicare PECOS PAC ID2961400197
Medicare Enrollment IDO20061121000682

Medical Identifiers

Medical identifiers for Gastonia Medical Specialty Clinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023048279NPI-NPPES
01627OtherNCBCBSNC GROUP PROVIDER #
NPA701MedicaidSC
CC5252OtherNCRAILROAD MEDICARE
5920537MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gastonia Medical Specialty Clinic Pa acts as a billing entity for following providers:
Provider NameJanet W Kelchner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265429864
PECOS PAC ID: 6800791195
Enrollment ID: I20031201000195
Provider NameAzemobo Charles Akhimien
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992760581
PECOS PAC ID: 5799703104
Enrollment ID: I20051108000066
Provider NameAnup Banerjee
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1740213263
PECOS PAC ID: 8628073376
Enrollment ID: I20061002000326
Provider NameMikell Jarratt
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1497785604
PECOS PAC ID: 3678529963
Enrollment ID: I20091008000492
Provider NameApril Mahrle-henson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538504451
PECOS PAC ID: 7315185261
Enrollment ID: I20130604000782
Provider NameAmy L Randolph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285019000
PECOS PAC ID: 9234448069
Enrollment ID: I20151019001303
Provider NameEmily Barker Stallard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205232337
PECOS PAC ID: 3779850334
Enrollment ID: I20170602000073
Provider NameRebecca Lee Shavers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841786316
PECOS PAC ID: 7810245487
Enrollment ID: I20180731000133
Provider NameMegan W Self
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538624317
PECOS PAC ID: 4880935675
Enrollment ID: I20190403003224

Reviews and Comments


Internal Medicine in Gastonia, NC

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Phone: 704-564-1312    Fax: 310-348-0201
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Practice Location: 2020 Remount Rd Ste E-105, Gastonia, NC 28054
Phone: 704-931-8286    
Pavana Treatment Group, P.c.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1560 Union Rd, Gastonia, NC 28054
Phone: 704-490-4993    
Gaston Family Health Services, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 137 Stowe Rd, Gastonia, NC 28056
Phone: 704-836-9112    Fax: 704-824-4715
Centerwell Senior Primary Care (nc) Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2910 E Franklin Blvd, 1, Gastonia, NC 28056
Phone: 704-648-0460    Fax: 855-446-7146

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.