Med One Medical Group is a medicare enrolled "Internal Medicine" provider in Raleigh, North Carolina. Their current practice location is
7019-200 Harps Mill Rd., Raleigh, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(919) 850-1300.
Med One Medical Group is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Med One Medical Group
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1548346331.
Healthcare Provider's Profile
| Full Name | Med One Medical Group |
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| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 7019-200 Harps Mill Rd., Raleigh, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548346331
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931615101
- Enrollment ID: O20250723002944
Medical Identifiers
Medical identifiers for Med One Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548346331 | NPI | - | NPPES |
| 5011967 | Other | NC | LICENSE # - KERNEY YU |
| 0010-04356 | Other | NC | LICENSE # - TYLER CASSIDY |
| 930076 | Other | NC | CARA L. DAVIS LICENSE |
| 2394 | Other | NC | G. GRUBER DC LICENSE # |
| 0050-02018 | Other | NC | J. CHARLES ANP LISCENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2394 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 930076 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 0050-02018 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201835 (North Carolina) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Med One Medical Group acts as a billing entity for following providers:
| Provider Name | Gary Gruber |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1558305060
PECOS PAC ID: 4789765447
Enrollment ID: I20080118000577 |
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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. Med One Medical Group 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 |
|---|
Med One Medical Group
7019-200 Harps Mill Rd.,
Raleigh, NC 27615
Ph: (919) 850-1300 | Med One Medical Group
7019-200 Harps Mill Rd.,
Raleigh, NC 27615
Ph: (919) 850-1300 |
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