John L Welborn Iv, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Edwards, New York. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Gouverneur Hospital and his current practice location is
8 Church Street, Edwards, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 562-1055.
John L Welborn Iv is licensed to practice in New York (license number F337418) 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 1427496835.
Provider's Profile
Full Name | John L Welborn Iv |
---|
Gender | Male |
---|
Speciality | Nurse Practitioner |
---|
Experience | 12 Years |
---|
Location | 8 Church Street, Edwards, New York |
---|
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:
- John L Welborn Iv graduated from nursing school in 2012
NPI Data:
- NPI Number: 1427496835
- Provider Enumeration Date: 06/07/2013
- Last Update Date: 08/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507093309
- Enrollment ID: I20131227000901
Medical Identifiers
Medical identifiers for John L Welborn Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427496835 | NPI | - | NPPES |
F337418 | Other | NY | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | F337418 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Gouverneur Hospital | 9931336724 | 20 |
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. John L Welborn Iv allows following entities to bill medicare on his behalf.
Entity Name | Gouverneur Hospital |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1295156412 PECOS PAC ID: 9931336724 Enrollment ID: O20140911000087 |
---|
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. John L Welborn Iv 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 |
John L Welborn Iv, FNP-C 77 W Barney St, Gouverneur, NY 13642-1040 Ph: (315) 287-1000 | John L Welborn Iv, FNP-C 8 Church Street, Edwards, NY 13635 Ph: (315) 562-1055 |
Reviews and Comments