Dr Marcus Avery Threadcraft, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Durham, North Carolina. He went to University Of Florida College Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
2301 Erwin Rd, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 684-8111.
Dr Marcus Avery Threadcraft is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1922688324.
Physician's Profile
| Full Name | Dr Marcus Avery Threadcraft |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 4 Years |
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| Location | 2301 Erwin Rd, Durham, North Carolina |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Marcus Avery Threadcraft attended and graduated from University Of Florida College Of Medicine in 2021
NPI Data:
- NPI Number: 1922688324
- Provider Enumeration Date: 04/09/2021
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597207548
- Enrollment ID: I20240606000894
Medical Identifiers
Medical identifiers for Dr Marcus Avery Threadcraft such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922688324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 70116 (Tennessee) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
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 Marcus Avery Threadcraft allows following entities to bill medicare on his behalf.
| Entity Name | Vanderbilt University Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
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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. Dr Marcus Avery Threadcraft 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 |
Dr Marcus Avery Threadcraft, MD 2301 Erwin Rd, Durham, NC 27705-4699 Ph: () - | Dr Marcus Avery Threadcraft, MD 2301 Erwin Rd, Durham, NC 27705-4699 Ph: (919) 684-8111 |
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