Kelly Ryan Wackerle, MD in Charlotte, NC

Kelly Ryan Wackerle, MD is a medicare enrolled "Neurological Surgery" physician in Charlotte, North Carolina. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Neurosurgery. She is a member of the group practice Novant Health Medical Group, Llc and her current practice location is 2801 Randolph Rd Ste 100, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 367-4800.

Kelly Ryan Wackerle is licensed to practice in North Carolina (license number 2024-02000) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336671700.

Contact Information

	Kelly Ryan Wackerle, MD
	2801 Randolph Rd Ste 100, Charlotte, NC 28211-1051
	(704) 367-4800
	(704) 316-3025

Map and Direction

Physician's Profile

Full Name	Kelly Ryan Wackerle
Gender	Female
Speciality	Neurosurgery
Experience	8 Years
Location	2801 Randolph Rd Ste 100, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Ryan Wackerle graduated from medical school in 2017

NPI Data:

NPI Number: 1336671700
Provider Enumeration Date: 04/03/2017
Last Update Date: 10/16/2025

Medicare PECOS Information:

PECOS PAC ID: 6204377104
Enrollment ID: I20240918004552

Medical Identifiers

Medical identifiers for Kelly Ryan Wackerle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336671700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	2024-02000 (North Carolina)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Presbyterian Medical Center	Charlotte, NC	Hospital
Novant Health Matthews Medical Center	Matthews, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Health Medical Group, Llc	1153234893	2144

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. Kelly Ryan Wackerle allows following entities to bill medicare on her behalf.

Entity Name	Novant Health Medical Group, Llc
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. Kelly Ryan Wackerle 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
Kelly Ryan Wackerle, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Kelly Ryan Wackerle, MD 2801 Randolph Rd Ste 100, Charlotte, NC 28211-1051 Ph: (704) 367-4800

Reviews and Comments

Neurological Surgery Doctors in Charlotte, NC

Anthony Lawrence Asher, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Baldwin Ave, Charlotte, NC 28204 Phone: 704-376-1605 Fax: 704-335-8448
Vincent Jack Rossi, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Baldwin Ave, Charlotte, NC 28204 Phone: 704-376-1605 Fax: 704-335-8448
Dr. Charles Nelson Munyon, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 330 Billingsley Rd Ste 202, Charlotte, NC 28211 Phone: 704-316-3070 Fax: 704-316-3071
Matthew Joseph Mcgirt, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Baldwin Ave, Charlotte, NC 28204 Phone: 704-376-1605 Fax: 704-335-8448
Michael A Bohl, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Baldwin Ave, Charlotte, NC 28204 Phone: 704-376-1605 Fax: 704-335-8448
Dr. Joseph Thomas Cheatle, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Baldwin Ave, Charlotte, NC 28204 Phone: 704-376-1605 Fax: 704-335-8448
Samuel Harrison Farber, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 14135 Ballantyne Corporate Pl Ste 100, Charlotte, NC 28277 Phone: 704-831-4300 Fax: 704-831-4301

Kelly Ryan Wackerle, MD - Medicare Neurosurgery in Charlotte, NC