Jeff Lawrence Kantor, MD in Raleigh, NC

Jeff Lawrence Kantor, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Raleigh, North Carolina. His current practice location is 23 Sunnybrook Rd, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 235-6435.

Jeff Lawrence Kantor is licensed to practice in North Carolina (license number 2018-01805) 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 1003979063.

Contact Information

	Jeff Lawrence Kantor, MD
	23 Sunnybrook Rd, Raleigh, NC 27610-1855
	(919) 235-6435
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeff Lawrence Kantor
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	23 Sunnybrook Rd, Raleigh, 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: 1003979063
Provider Enumeration Date: 12/19/2006
Last Update Date: 03/02/2021

Medicare PECOS Information:

PECOS PAC ID: 1355445487
Enrollment ID: I20181005001893

Medical Identifiers

Medical identifiers for Jeff Lawrence Kantor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003979063	NPI	-	NPPES
204028302	Medicaid	MO
774420	Other	MO	HEALTHLINK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2006026942 (Missouri)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	2018-01805 (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. Jeff Lawrence Kantor allows following entities to bill medicare on his behalf.

Entity Name	Wakemed Specialists Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815

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. Jeff Lawrence Kantor 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
Jeff Lawrence Kantor, MD 2920 Highwoods Blvd, Raleigh, NC 27604-0010 Ph: () -	Jeff Lawrence Kantor, MD 23 Sunnybrook Rd, Raleigh, NC 27610-1855 Ph: (919) 235-6435

Reviews and Comments

Pediatrics Doctors in Raleigh, NC

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Larissa M. Saldana, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4551 New Bern Ave, Suite 160, Raleigh, NC 27610 Phone: 919-861-7793 Fax: 919-488-1458
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Jeff Lawrence Kantor, MD - Medicare Pediatrics in Raleigh, NC