Dr Stephen James Ezzo, MD, in Matthews, NC

Dr Stephen James Ezzo, MD, is a medicare enrolled "Pediatrics" physician in Matthews, North Carolina. His current practice location is 1401 Matthews Township Pkwy, Suite 100, Matthews, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-1080.

Dr Stephen James Ezzo is licensed to practice in North Carolina (license number 31983) 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 1386616118.

Contact Information

	Dr Stephen James Ezzo, MD,
	1401 Matthews Township Pkwy, Suite 100, Matthews, NC 28105-5402
	(704) 384-1080
	(704) 384-1122

Map and Direction

Physician's Profile

Full Name	Dr Stephen James Ezzo
Gender	Male
Speciality	Pediatrics
Location	1401 Matthews Township Pkwy, Matthews, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386616118
Provider Enumeration Date: 02/06/2006
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 4486906724
Enrollment ID: I20230701000319

Medical Identifiers

Medical identifiers for Dr Stephen James Ezzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386616118	NPI	-	NPPES
N31983	Medicaid	SC
8930983	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	31983 (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 Stephen James Ezzo allows following entities to bill medicare on his behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Stephen James Ezzo 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 Stephen James Ezzo, MD, Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-1080	Dr Stephen James Ezzo, MD, 1401 Matthews Township Pkwy, Suite 100, Matthews, NC 28105-5402 Ph: (704) 384-1080

Reviews and Comments

Pediatrics Doctors in Matthews, NC

Blaire Marie Williams Smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St Ste 100, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-849-9760
Dr. Meredith Calcina Davitte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105 Phone: 704-384-1080
Dr. Hala Ahmed Elhemaily, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-844-2068
Courtney Gregg Self, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St Ste 100, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-849-9760
Dr. Latonya Danielle Griffin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy, Suite 320, Matthews, NC 28105 Phone: 704-316-3145 Fax: 704-316-3146
Dr. Varsha Laxman Pherwani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-847-9760
George Anthony Manousos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 332 N Trade St, Ste 1500, Matthews, NC 28105 Phone: 704-512-6820

Dr Stephen James Ezzo, MD, - Medicare Pediatrics in Matthews, NC