Dr Jose Raul Pena, MD - Medicare Dermatology in Huntersville, NC

Dr Jose Raul Pena, MD is a medicare enrolled "Dermatology" physician in Huntersville, North Carolina. He went to University Of South Carolina School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Novant Medical Group Inc and his current practice location is 9604 Holly Point Dr, Huntersville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 316-5070.

Dr Jose Raul Pena is licensed to practice in North Carolina (license number 26801) 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 1598741563.

Contact Information

Dr Jose Raul Pena, MD
9604 Holly Point Dr,
Huntersville, NC 28078-4913
(704) 316-5070
(704) 316-5075

Map and Direction




Physician's Profile

Full NameDr Jose Raul Pena
GenderMale
SpecialityDermatology
Experience41 Years
Location9604 Holly Point Dr, Huntersville, 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 Jose Raul Pena attended and graduated from University Of South Carolina School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1598741563
  • Provider Enumeration Date: 12/21/2005
  • Last Update Date: 10/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204871155
  • Enrollment ID: I20050622000433

Medical Identifiers

Medical identifiers for Dr Jose Raul Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598741563NPI-NPPES
218605MedicaidNC
5900708MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 009000253 (North Carolina)Secondary
207ZD0900XPathology - Dermatopathology 009000253 (North Carolina)Secondary
207N00000XDermatology 26801 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348931996

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 Jose Raul Pena allows following entities to bill medicare on his behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692

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 Jose Raul Pena 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 Jose Raul Pena, MD
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 316-5070
Dr Jose Raul Pena, MD
9604 Holly Point Dr,
Huntersville, NC 28078-4913

Ph: (704) 316-5070

Reviews and Comments


Dermatology Doctors in Huntersville, NC

Dr. Colene Marie Calo, DO
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 9604 Holly Point Dr, Huntersville, NC 28078
Phone: 704-316-5070    Fax: 704-316-5075
Ms. Nicole Marie Seminara-zambrzycka, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 13539 Reese Blvd W, Huntersville, NC 28078
Phone: 704-892-4878    Fax: 704-892-7453
Jean Marie Kois, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 9604 Holly Point Dr, Huntersville, NC 28078
Phone: 704-316-5070    Fax: 704-316-5075
Nancy J Astle, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 13539 Reese Blvd W Ste B, Huntersville, NC 28078
Phone: 704-892-4878    Fax: 704-892-7453

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.