Dan M Phillips, MD is a medicare enrolled "Emergency Medicine" physician in Youngsville, North Carolina. His current practice location is
406 Us 1 Hwy Ste A, Youngsville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 679-1880.
Dan M Phillips is licensed to practice in North Carolina (license number 39060) 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 1871633768.
Physician's Profile
| Full Name | Dan M Phillips |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 406 Us 1 Hwy Ste A, Youngsville, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871633768
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 04/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103710090
- Enrollment ID: I20050913000927
Medical Identifiers
Medical identifiers for Dan M Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871633768 | NPI | - | NPPES |
| 8967602 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 39060 (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. Dan M Phillips allows following entities to bill medicare on his behalf.
| Entity Name | Dlp Person Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275043481
PECOS PAC ID: 9032478698
Enrollment ID: O20180108000023 |
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| Entity Name | Loginclinics Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003472804
PECOS PAC ID: 4385052562
Enrollment ID: O20210428001830 |
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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. Dan M Phillips 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 |
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Dan M Phillips, MD
464 Shady Oak Rd,
Roxboro, NC 27574-9051
Ph: (336) 322-4333 | Dan M Phillips, MD
406 Us 1 Hwy Ste A,
Youngsville, NC 27596-7847
Ph: (919) 679-1880 |
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