Ryan Fillmore, MD in Charlotte, NC

Ryan Fillmore, MD is a medicare enrolled "Psychiatry & Neurology - Neurocritical Care" physician in Charlotte, North Carolina. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Novant Medical Group Inc and his current practice location is 200 Hawthorne Ln, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-9437.

Ryan Fillmore is licensed to practice in North Carolina (license number 2021-01709) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184043283.

Contact Information

	Ryan Fillmore, MD
	200 Hawthorne Ln, Charlotte, NC 28204-2515
	(704) 384-9437
	(704) 384-9440

Map and Direction

Physician's Profile

Full Name	Ryan Fillmore
Gender	Male
Speciality	Neurology
Experience	10 Years
Location	200 Hawthorne Ln, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ryan Fillmore graduated from medical school in 2014

NPI Data:

NPI Number: 1184043283
Provider Enumeration Date: 04/16/2014
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2567684863
Enrollment ID: I20210723000640

Medical Identifiers

Medical identifiers for Ryan Fillmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184043283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084A2900X	Psychiatry & Neurology - Neurocritical Care	155465 (California)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	2021-01709 (North Carolina)	Secondary
2084N0600X	Psychiatry & Neurology - Clinical Neurophysiology	2021-01709 (North Carolina)	Secondary
2084A2900X	Psychiatry & Neurology - Neurocritical Care	2021-01709 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Presbyterian Medical Center	Charlotte, NC	Hospital
Novant Health Rowan Medical Center	Salisbury, NC	Hospital
Novant Health Matthews Medical Center	Matthews, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	1996

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. Ryan Fillmore allows following entities to bill medicare on his behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Forsyth Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702

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. Ryan Fillmore 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
Ryan Fillmore, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-9437	Ryan Fillmore, MD 200 Hawthorne Ln, Charlotte, NC 28204-2515 Ph: (704) 384-9437

Reviews and Comments

Psychiatry & Neurology Doctors in Charlotte, NC

Ryan Alan Williamson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-9437
Soong Hyun Lee, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Behavioral Health Center Cmc Randolph, 501 Billingsley Road, Charlotte, NC 28211 Phone: 704-358-2700 Fax: 704-358-2716
Dr. Richard David Jacobson, MD, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4228 Brookfield Dr, Charlotte, NC 28210 Phone: 615-345-5400
Stephanie Francis Newby, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400
Dr. T Hemanth Rao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2607 E 7th St Ste 200, Charlotte, NC 28204 Phone: 704-449-6064 Fax: 704-731-0936
Boris Maximovich Kiselev, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400
Dr. Sumul Modi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5500 Executive Center Dr Ste 206, Charlotte, NC 28212 Phone: 984-777-9940 Fax: 877-794-5929

Ryan Fillmore, MD - Medicare Neurology in Charlotte, NC