Johannes Lourens Du Pisanie Jr, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chapel Hill, North Carolina. His current practice location is
101 Manning Dr, Chapel Hill, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(984) 974-1000.
Johannes Lourens Du Pisanie Jr is licensed to practice in North Carolina (license number 2020-01276) 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 1699271619.
Physician's Profile
Full Name | Johannes Lourens Du Pisanie Jr |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 101 Manning Dr, Chapel Hill, 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: 1699271619
- Provider Enumeration Date: 03/30/2018
- Last Update Date: 11/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567719370
- Enrollment ID: I20180725002614
Medical Identifiers
Medical identifiers for Johannes Lourens Du Pisanie Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699271619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0204X | Radiology - Vascular & Interventional Radiology | 2020-01276 (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 2020-01276 (North Carolina) | Primary |
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. Johannes Lourens Du Pisanie Jr 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 |
Johannes Lourens Du Pisanie Jr, 1126 Haven Hollow Way, Durham, NC 27713-6052 Ph: (910) 269-7418 | Johannes Lourens Du Pisanie Jr, 101 Manning Dr, Chapel Hill, NC 27514-4220 Ph: (984) 974-1000 |
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