Jesse Randall Byrd, MD is a medicare enrolled "Internal Medicine" physician in Creedmoor, North Carolina. His current practice location is
1614 Hwy 56, Creedmoor, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 575-6103.
Jesse Randall Byrd is licensed to practice in North Carolina (license number 33000) 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 1518901446.
Physician's Profile
| Full Name | Jesse Randall Byrd |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1614 Hwy 56, Creedmoor, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518901446
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 09/11/2017
Medicare PECOS Information:
- PECOS PAC ID: 9032015789
- Enrollment ID: I20031211000926
Medical Identifiers
Medical identifiers for Jesse Randall Byrd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518901446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 33000 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 33000 (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. Jesse Randall Byrd allows following entities to bill medicare on his behalf.
| Entity Name | Granville Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275638512 PECOS PAC ID: 1052223757 Enrollment ID: O20040312001033 |
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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. Jesse Randall Byrd 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 |
Jesse Randall Byrd, MD 1614 Hwy 56, Creedmoor, NC 27522-8297 Ph: (919) 575-6103 | Jesse Randall Byrd, MD 1614 Hwy 56, Creedmoor, NC 27522-8297 Ph: (919) 575-6103 |
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