Justin William Rackley, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Winston Salem, North Carolina. His current practice location is
1 Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(201) 336-2011.
Justin William Rackley is licensed to practice in * (Not Available) (license number ) 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 1407353105.
Physician's Profile
| Full Name | Justin William Rackley |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1 Medical Center Blvd, Winston Salem, 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: 1407353105
- Provider Enumeration Date: 04/09/2018
- Last Update Date: 03/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 1759631062
- Enrollment ID: I20180907001033
Medical Identifiers
Medical identifiers for Justin William Rackley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407353105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | 83848 (Connecticut) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 83848 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Justin William Rackley 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 |
Justin William Rackley, MD 501 Woodland Rd, Pittsburgh, PA 15237-3809 Ph: (412) 418-0613 | Justin William Rackley, MD 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (201) 336-2011 |
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