Dr Mott Parks Blair Iv, MD in Wallace, NC

Dr Mott Parks Blair Iv, MD is a medicare enrolled "Family Medicine" physician in Wallace, North Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 1987 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Vidant Medical Group Llc and his current practice location is 125 River Vine Pkwy, Wallace, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 285-2134.

Dr Mott Parks Blair Iv is licensed to practice in North Carolina (license number 38496) 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 1447237623.

Contact Information

	Dr Mott Parks Blair Iv, MD
	125 River Vine Pkwy, Wallace, NC 28466-2377
	(910) 285-2134
	(910) 285-3380

Map and Direction

Physician's Profile

Full Name	Dr Mott Parks Blair Iv
Gender	Male
Speciality	Family Practice
Experience	38 Years
Location	125 River Vine Pkwy, Wallace, North Carolina
Accepts Medicare Assignments	Yes. 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 Mott Parks Blair Iv attended and graduated from Brody School Of Medicine At East Carolina University in 1987

NPI Data:

NPI Number: 1447237623
Provider Enumeration Date: 12/28/2005
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 5193807063
Enrollment ID: I20090826000545

Medical Identifiers

Medical identifiers for Dr Mott Parks Blair Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447237623	NPI	-	NPPES
16113	Other	NC	BLUE CROSS BLUE SHEILD
561711105	Other	NC	TAX ID
8916113	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	38496 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vidant Duplin Hospital	Kenansville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vidant Medical Group Llc	0345343893	847

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 Mott Parks Blair Iv allows following entities to bill medicare on his behalf.

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

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 Mott Parks Blair Iv 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 Mott Parks Blair Iv, MD 404 E Main St, Wallace, NC 28466-2726 Ph: (910) 285-2134	Dr Mott Parks Blair Iv, MD 125 River Vine Pkwy, Wallace, NC 28466-2377 Ph: (910) 285-2134

Reviews and Comments

Family Medicine Doctors in Wallace, NC

Gary Stephen Crawford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Medical Village Dr, Unit D, Wallace, NC 28466 Phone: 910-285-7592 Fax: 910-285-4610
Charles Andrew Lewis Ii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Main St, Wallace, NC 28466 Phone: 910-659-3816
Dr. Roxie C Wells, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 112 Medical Village Dr, Wallace, NC 28466 Phone: 910-285-2111 Fax: 910-285-4436

Dr Mott Parks Blair Iv, MD - Medicare Family Practice in Wallace, NC