Mr Kenny Charles Nall, MD in Washington, NC - Medicare Pulmonary Disease

Mr Kenny Charles Nall, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Washington, North Carolina. He went to Medical College Of Georgia School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Vidant Medical Group Llc and his current practice location is 628 E 12th St, Washington, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 974-9361.

Mr Kenny Charles Nall is licensed to practice in North Carolina (license number 9901269) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710961727.

Contact Information

	Mr Kenny Charles Nall, MD
	628 E 12th St, Washington, NC 27889-3409
	(252) 974-9361
	(252) 974-9115

Map and Direction

Physician's Profile

Full Name	Mr Kenny Charles Nall
Gender	Male
Speciality	Pulmonary Disease
Experience	39 Years
Location	628 E 12th St, Washington, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kenny Charles Nall attended and graduated from Medical College Of Georgia School Of Medicine in 1985

NPI Data:

NPI Number: 1710961727
Provider Enumeration Date: 12/02/2005
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 4385548817
Enrollment ID: I20031125000638

Medical Identifiers

Medical identifiers for Mr Kenny Charles Nall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710961727	NPI	-	NPPES
1253W	Other	NC	BCBS
891253W	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	9901269 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vidant Medical Center	Greenville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vidant Medical Group Llc	0345343893	849

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. Mr Kenny Charles Nall allows following entities to bill medicare on his behalf.

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

Entity Name	Outer Banks Professional Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156

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. Mr Kenny Charles Nall 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
Mr Kenny Charles Nall, MD 628 E 12th St, Washington, NC 27889-3409 Ph: (252) 974-9361	Mr Kenny Charles Nall, MD 628 E 12th St, Washington, NC 27889-3409 Ph: (252) 974-9361

Reviews and Comments

Internal Medicine Doctors in Washington, NC

Dr. John J. Inzerillo, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1209 Brown St, Washington, NC 27889 Phone: 252-975-4308 Fax: 252-946-1540
Randal White, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-948-4990 Fax: 252-948-4993
Imran Syed, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4100
Richard M Young, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1380 Cowell Farm Rd, Washington, NC 27889 Phone: 252-946-2101 Fax: 252-946-9896
Deepti Ananthula, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1380 Cowell Farm Rd, Washington, NC 27889 Phone: 215-361-4854
Melissa Anne Beretich, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 628 E 12th St, Attn James Manning, Washington, NC 27889 Phone: 252-946-0900
Tara M Knott, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1380 Cowell Farm Road, Washington, NC 27889 Phone: 252-946-2101 Fax: 252-946-9896

Mr Kenny Charles Nall, MD - Medicare Pulmonary Disease in Washington, NC