Dr Kevin David Wellbaum, MD - Medicare Pediatrics in Mooresville, NC

Dr Kevin David Wellbaum, MD is a medicare enrolled "Pediatrics" physician in Mooresville, North Carolina. His current practice location is 656 Carpenter Ave, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 664-5133.

Dr Kevin David Wellbaum is licensed to practice in North Carolina (license number 2016-01403) 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 1790049641.

Contact Information

Dr Kevin David Wellbaum, MD
656 Carpenter Ave,
Mooresville, NC 28115-2538
(704) 664-5133
(704) 660-0406

Map and Direction




Physician's Profile

Full NameDr Kevin David Wellbaum
GenderMale
SpecialityPediatrics
Location656 Carpenter Ave, Mooresville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790049641
  • Provider Enumeration Date: 06/26/2012
  • Last Update Date: 10/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133368368
  • Enrollment ID: I20190102002959

Medical Identifiers

Medical identifiers for Dr Kevin David Wellbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790049641NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 5536 (Georgia)Secondary
208000000XPediatrics 074135 (Georgia)Secondary
208000000XPediatrics 2016-01403 (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 Kevin David Wellbaum 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 Kevin David Wellbaum 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 Kevin David Wellbaum, MD
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (844) 266-8268
Dr Kevin David Wellbaum, MD
656 Carpenter Ave,
Mooresville, NC 28115-2538

Ph: (704) 664-5133

Reviews and Comments


Pediatrics Doctors in Mooresville, NC

Laura Therese Recchi, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 136 Gateway Blvd Ste A, Mooresville, NC 28117
Phone: 704-799-2878    Fax: 704-799-1627
Elizabeth Ellen Tilt, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 136 Gateway Blvd Ste A, Mooresville, NC 28117
Phone: 704-799-2878    Fax: 704-799-1627
Gianna Demos Madrid, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 656 Carpenter Ave, Mooresville, NC 28115
Phone: 704-664-5133    Fax: 704-799-6356
Dr. Stephen James Malloney, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 134 Medical Park Rd Ste 100, Mooresville, NC 28117
Phone: 704-662-0106    Fax: 808-290-6369
Shelley H. Rinker, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 133 Welton Way, Suite C, Mooresville, NC 28117
Phone: 704-664-2552    Fax: 704-664-5382
Lisa Schroepfer Thomas, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 136 Gateway Blvd Ste A, Mooresville, NC 28117
Phone: 704-799-2878    Fax: 704-799-1627
Amy Poteat Ferguson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 656 Carpenter Ave, Mooresville, NC 28115
Phone: 704-664-5133    

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.

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