Mrs Sunny Bakalli Severance, NP-C in Gastonia, NC

Mrs Sunny Bakalli Severance, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Gastonia, North Carolina. Her current practice location is 2240 Remount Rd, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 861-8405.

Mrs Sunny Bakalli Severance is licensed to practice in North Carolina (license number 5005686) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073878252.

Contact Information

	Mrs Sunny Bakalli Severance, NP-C
	2240 Remount Rd, Gastonia, NC 28054-4725
	(704) 861-8405
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Sunny Bakalli Severance
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2240 Remount Rd, Gastonia, 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: 1073878252
Provider Enumeration Date: 07/12/2012
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 3779733860
Enrollment ID: I20121025000833

Medical Identifiers

Medical identifiers for Mrs Sunny Bakalli Severance such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073878252	NPI	-	NPPES
7006512	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5005686 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5005686 (North Carolina)	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. Mrs Sunny Bakalli Severance allows following entities to bill medicare on her behalf.

Entity Name	Caromont Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503

Entity Name	Nh-cl Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487276499 PECOS PAC ID: 6305262692 Enrollment ID: O20200818000206

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. Mrs Sunny Bakalli Severance 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
Mrs Sunny Bakalli Severance, NP-C Po Box 744786, Atlanta, GA 30374-4786 Ph: () -	Mrs Sunny Bakalli Severance, NP-C 2240 Remount Rd, Gastonia, NC 28054-4725 Ph: (704) 861-8405

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora D. Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274
Mrs. Cecilia Apau-kese, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1282 Audubon Dr, Gastonia, NC 28054 Phone: 704-718-4150

Mrs Sunny Bakalli Severance, NP-C - Medicare Nurse Practitioner in Gastonia, NC