Dr Ian Williamson Staten, MD - Medicare Emergency Medicine in Fayetteville, NC

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Dr Ian Williamson Staten, MD is a medicare enrolled "Emergency Medicine" physician in Fayetteville, North Carolina. His current practice location is 2300 Ramsey St, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 488-2120.

Dr Ian Williamson Staten is licensed to practice in North Carolina (license number 2019-01755) 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 1780030437.

Contact Information

Dr Ian Williamson Staten, MD
2300 Ramsey St,
Fayetteville, NC 28301-3856
(910) 488-2120
Not Available

Map and Direction




Physician's Profile

Full NameDr Ian Williamson Staten
GenderMale
SpecialityEmergency Medicine
Location2300 Ramsey St, Fayetteville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780030437
  • Provider Enumeration Date: 05/12/2016
  • Last Update Date: 01/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1850683640
  • Enrollment ID: I20200901000798

Medical Identifiers

Medical identifiers for Dr Ian Williamson Staten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780030437NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2019-01755 (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. Dr Ian Williamson Staten allows following entities to bill medicare on his behalf.
Entity NameWake Emergency Physicians Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922063387
PECOS PAC ID: 9931002078
Enrollment ID: O20040128000295
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445

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 Ian Williamson Staten 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
Dr Ian Williamson Staten, MD
2817 Rock Merritt Ave,
Fort Liberty, NC 28310-0001

Ph: (910) 907-8922		Dr Ian Williamson Staten, MD
2300 Ramsey St,
Fayetteville, NC 28301-3856

Ph: (910) 488-2120

Reviews and Comments


Emergency Medicine Doctors in Fayetteville, NC

Dr. Marc Calabrese, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-609-6350    
Dr. Michael Joseph Kingberg, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1638 Owen Dr # 138, Fayetteville, NC 28304
Phone: 910-615-5095    Fax: 910-615-9872
Judith Haug Borger, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1638 Owen Dr, Cape Fear Valley Medical Center, Fayetteville, NC 28304
Phone: 919-684-6724    
James Clinton Hunter, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 216 Grey Fox Ln, Fayetteville, NC 28303
Phone: 910-609-6703    Fax: 910-609-5367
Dr. Howard Stansberry, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-609-5610    Fax: 910-609-5080
Dr. Purushotham Gorrey, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-615-5610    
Keith Messner, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-609-6350    Fax: 910-609-5278

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.