Brian J Sutton, MD - Medicare Pathology in Gastonia, NC

Brian J Sutton, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Gastonia, North Carolina. He went to Eastern Virginia Medical School and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Carolinas Pathology Group Pa and his current practice location is 2525 Court Dr, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 834-2450.

Brian J Sutton is licensed to practice in Florida (license number ME145518) 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 1831370279.

Contact Information

Brian J Sutton, MD
2525 Court Dr,
Gastonia, NC 28054-2140
(704) 834-2450
(704) 834-2500

Map and Direction




Physician's Profile

Full NameBrian J Sutton
GenderMale
SpecialityPathology
Experience17 Years
Location2525 Court Dr, Gastonia, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brian J Sutton attended and graduated from Eastern Virginia Medical School in 2007
  NPI Data:
  • NPI Number: 1831370279
  • Provider Enumeration Date: 11/14/2007
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1153578521
  • Enrollment ID: I20120821000294

Medical Identifiers

Medical identifiers for Brian J Sutton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831370279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology ME145518 (Florida)Primary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 141218 (North Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital
Atrium Health LincolnLincolnton, NCHospital
Carolinas Medical Center-pinevilleCharlotte, NCHospital
Stanly Regional Medical CenterAlbemarle, NCHospital
Atrium Health UnionMonroe, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Pathology Group Pa337552998539

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. Brian J Sutton allows following entities to bill medicare on his behalf.
Entity NameCarolinas Pathology Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689628158
PECOS PAC ID: 3375529985
Enrollment ID: O20040625000060

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. Brian J Sutton 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 AddressPractice Location Address
Brian J Sutton, MD
203 Indigo Dr,
Brunswick, GA 31525-6865

Ph: (912) 261-2669
Brian J Sutton, MD
2525 Court Dr,
Gastonia, NC 28054-2140

Ph: (704) 834-2450

Reviews and Comments


Pathology Doctors in Gastonia, NC

Dr. David R Guillen, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1072 X Ray Dr, Gastonia, NC 28054
Phone: 704-671-1094    
Chris Brian Nguyen, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Court Dr, Department Of Pathology, Gaston Memorial Hospital, Gastonia, NC 28054
Phone: 704-915-9579    
Dr. Peter H Wittenberg, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 2525 Court Dr, Gastonia, NC 28054
Phone: 704-834-2851    Fax: 704-834-2815
Mara Banks, MD, PHD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Court Dr, Gastonia, NC 28054
Phone: 704-834-2450    Fax: 704-671-5331
Dr. Cheryl Levine, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1740 Montclair Ave, Gastonia, NC 28054
Phone: 704-865-2464    
Jeffrey Todd Bunning, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2555 Court Dr Ste 270, Gastonia, NC 28054
Phone: 704-671-5313    
Jeffrey Ahlstedt,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Court Dr, Gastonia, NC 28054
Phone: 704-834-2851    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.