Gaboy Jupiter, NP in Winston Salem, NC - Medicare Nurse Practitioner

Gaboy Jupiter, NP is a medicare enrolled "Nurse Practitioner" in Winston Salem, North Carolina. His current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-9252.

Gaboy Jupiter is licensed to practice in Georgia (license number RN275508) 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 1033656715.

Contact Information

	Gaboy Jupiter, NP
	Medical Center Blvd, Winston Salem, NC 27157-9130
	(336) 716-9252
	(336) 716-0030

Map and Direction

Provider's Profile

Full Name	Gaboy Jupiter
Gender	Male
Speciality	Nurse Practitioner
Location	Medical Center Blvd, Winston Salem, 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: 1033656715
Provider Enumeration Date: 01/19/2017
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 0648554758
Enrollment ID: I20191213000772

Medical Identifiers

Medical identifiers for Gaboy Jupiter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033656715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5017243 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	10286 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	CNP211642 (Maine)	Secondary
363L00000X	Nurse Practitioner	431172 (New York)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95005814 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	10286 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	RN275508 (Georgia)	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. Gaboy Jupiter allows following entities to bill medicare on his behalf.

Entity Name	The Memorial Hospital Of William F And Gertrude F Jones Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720030703 PECOS PAC ID: 7012828486 Enrollment ID: O20040310000938

Entity Name	Cogent Medical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912941238 PECOS PAC ID: 7315836780 Enrollment ID: O20040312001215

Entity Name	Apogee Medical Group, New York, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841520236 PECOS PAC ID: 4587793294 Enrollment ID: O20100518000664

Entity Name	Medical Director Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218

Entity Name	Patient First Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255067955 PECOS PAC ID: 0042687006 Enrollment ID: O20221103001230

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. Gaboy Jupiter 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
Gaboy Jupiter, NP Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-9252	Gaboy Jupiter, NP Medical Center Blvd, Winston Salem, NC 27157-9130 Ph: (336) 716-9252

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622
Rachael Marie Davis, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3821 Forrestgate Dr, Winston Salem, NC 27103 Phone: 336-448-9100 Fax: 336-448-5282

Gaboy Jupiter, NP - Medicare Nurse Practitioner in Winston Salem, NC