Dr Elliott John Sally, DO in Goldsboro, NC

Dr Elliott John Sally, DO is a medicare enrolled "Pediatrics" physician in Goldsboro, North Carolina. His current practice location is 1050 Jabara Ave, Sjafb, Pediatric Clinic, Goldsboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 722-1536.

Dr Elliott John Sally is licensed to practice in North Carolina (license number 2020-02658) 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 1538432018.

Contact Information

	Dr Elliott John Sally, DO
	1050 Jabara Ave, Sjafb, Pediatric Clinic, Goldsboro, NC 27531-2310
	(919) 722-1536
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Elliott John Sally
Gender	Male
Speciality	Pediatrics
Location	1050 Jabara Ave, Goldsboro, 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: 1538432018
Provider Enumeration Date: 02/15/2012
Last Update Date: 08/20/2020

Medicare PECOS Information:

PECOS PAC ID: 2466797162
Enrollment ID: I20200827001821

Medical Identifiers

Medical identifiers for Dr Elliott John Sally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538432018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2020-02658 (North Carolina)	Primary
208000000X	Pediatrics	0102204044 (Virginia)	Secondary

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. Dr Elliott John Sally allows following entities to bill medicare on his behalf.

Entity Name	Duke University Affiliated Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642

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. Dr Elliott John Sally 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
Dr Elliott John Sally, DO 5213 S Alston Ave, Durham, NC 27713-4430 Ph: () -	Dr Elliott John Sally, DO 1050 Jabara Ave, Sjafb, Pediatric Clinic, Goldsboro, NC 27531-2310 Ph: (919) 722-1536

Reviews and Comments

Pediatrics Doctors in Goldsboro, NC

David Lloyd Hill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-4736 Fax: 919-580-1017
Michael S Hoover, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2706 Medical Office Place, Goldsboro, NC 27534 Phone: 919-734-4736 Fax: 919-580-1017
Bryan Dwayne Stup, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-4736
Dr. Federico Aguilar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531 Phone: 919-722-0928 Fax: 919-722-1952
Dr. Tod S Russell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1050 Jabara Ave, Seymour Johnson Afb, Goldsboro, NC 27531 Phone: 919-722-0928 Fax: 919-722-1952
Siegfried Chang Rong Yeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2706 Medical Office Place, Goldsboro, NC 27534 Phone: 919-734-4736 Fax: 919-580-1017

Dr Elliott John Sally, DO - Medicare Pediatrics in Goldsboro, NC