Dr John E Poulos, MD - Medicare Gastroenterology in Fayetteville, NC

Dr John E Poulos, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Fayetteville, North Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 1991 and has 33 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Premier Gastroenterology Pa and his current practice location is 2041 Valleygate Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 323-5203.

Dr John E Poulos is licensed to practice in North Carolina (license number 9801021) 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 1578596896.

Contact Information

Dr John E Poulos, MD
2041 Valleygate Dr,
Fayetteville, NC 28304-3688
(910) 323-5203
(910) 223-1621

Map and Direction




Physician's Profile

Full NameDr John E Poulos
GenderMale
SpecialityGastroenterology
Experience33 Years
Location2041 Valleygate Dr, Fayetteville, 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:
  • Dr John E Poulos attended and graduated from Brody School Of Medicine At East Carolina University in 1991
  NPI Data:
  • NPI Number: 1578596896
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 08/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1759578222
  • Enrollment ID: I20101209000580

Medical Identifiers

Medical identifiers for Dr John E Poulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578596896NPI-NPPES
1137EOtherBCBS
7302311-001OtherCIGNA
891137EMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 9801021 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Fear Valley Medical CenterFayetteville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Gastroenterology Pa589078700620

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 John E Poulos allows following entities to bill medicare on his behalf.
Entity NamePremier Gastroenterology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952306599
PECOS PAC ID: 5890787006
Enrollment ID: O20040330001364
Entity NameFayetteville Gastroenterology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457365751
PECOS PAC ID: 9537186945
Enrollment ID: O20051025000858

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 John E Poulos 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 John E Poulos, MD
2041 Valleygate Dr, Ste 101,
Fayetteville, NC 28304-3746

Ph: (910) 321-2187
Dr John E Poulos, MD
2041 Valleygate Dr,
Fayetteville, NC 28304-3688

Ph: (910) 323-5203

Reviews and Comments


Internal Medicine Doctors in Fayetteville, NC

Kenneth Melton, M.D.
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Phone: 910-484-8114    Fax: 910-484-1564
Kenneth Russell Manning, M.D.
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Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-609-6910    Fax: 910-609-5219
San San Wai, M.D.
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Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301
Phone: 910-488-2120    
Dr. Sabena Johnson, MD
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Practice Location: 2300 Ramsey St, Fayetteville, NC 28301
Phone: 910-488-2120    
Dr. Stephen S Logue, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304
Phone: 910-483-8080    Fax: 910-483-3258
David Tat, DO
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Owen Dr, Fayetteville, NC 28304
Phone: 910-678-0100    Fax: 910-678-0110
Dr. Ghanshyam Pradyumna Dwivedi, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304
Phone: 910-483-4680    Fax: 910-484-2704

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.