Katherine A Averill, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Jefferson, North Carolina. Her current practice location is
200 Hospital Ave, Jefferson, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 846-7433.
Katherine A Averill is licensed to practice in North Carolina (license number 1917) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033158399.
Physician's Profile
| Full Name | Katherine A Averill |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 200 Hospital Ave, Jefferson, 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. |
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NPI Data:
- NPI Number: 1033158399
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 10/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951381722
- Enrollment ID: I20040722000453
Medical Identifiers
Medical identifiers for Katherine A Averill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033158399 | NPI | - | NPPES |
| 010081904 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 0101057370 (Virginia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 1917 (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. Katherine A Averill allows following entities to bill medicare on her behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436 |
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| Entity Name | Ashe Financial Services Llc |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1295193340
PECOS PAC ID: 8729377692
Enrollment ID: O20160516001931 |
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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. Katherine A Averill 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 |
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Katherine A Averill, MD
2000 Perimeter Park Dr Ste 200,
Morrisville, NC 27560-8442
Ph: (984) 215-4110 | Katherine A Averill, MD
200 Hospital Ave,
Jefferson, NC 28640-9244
Ph: (336) 846-7433 |
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