Daniel Scott Barrack, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fayetteville, North Carolina. His current practice location is
1638 Owen Drive, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 615-5095.
Daniel Scott Barrack is licensed to practice in * (Not Available) (license number ) 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 1922629245.
Physician's Profile
Full Name | Daniel Scott Barrack |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1638 Owen Drive, Fayetteville, 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. |
NPI Data:
- NPI Number: 1922629245
- Provider Enumeration Date: 04/27/2020
- Last Update Date: 06/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921421421
- Enrollment ID: I20230824003154
Medical Identifiers
Medical identifiers for Daniel Scott Barrack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922629245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 2023-00376 (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Daniel Scott Barrack allows following entities to bill medicare on his behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
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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. Daniel Scott Barrack 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 |
Daniel Scott Barrack, DO 1638 Owen Drive, Fayetteville, NC 28304-3424 Ph: (910) 615-5095 | Daniel Scott Barrack, DO 1638 Owen Drive, Fayetteville, NC 28304-3424 Ph: (910) 615-5095 |
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