Peter J Neidenbach, MD is a medicare enrolled "Dermatology" physician in Columbus, North Carolina. He went to University Of South Carolina School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Medical And Surgical Dermatology, Llc, Medical And Surgical Dermatology, Llc and his current practice location is
52 Hospital Dr Ste 3a, Columbus, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 894-2473.
Peter J Neidenbach is licensed to practice in North Carolina (license number 9501356) 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 1316905631.
Physician's Profile
| Full Name | Peter J Neidenbach |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 33 Years |
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| Location | 52 Hospital Dr Ste 3a, Columbus, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Peter J Neidenbach attended and graduated from University Of South Carolina School Of Medicine in 1991
NPI Data:
- NPI Number: 1316905631
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 12/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971404484
- Enrollment ID: I20040127001000
Medical Identifiers
Medical identifiers for Peter J Neidenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316905631 | NPI | - | NPPES |
| 2214227A | Other | NC | PTAN |
| 9501356 | Other | NC | STATE LICENSE |
| MMD16384MD | Other | SC | STATE LICENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | MMD16384MD (South Carolina) | Secondary |
| 207N00000X | Dermatology | 9501356 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Medical And Surgical Dermatology, Llc | 8527969039 | 3 |
| Medical And Surgical Dermatology, Llc | 8527969039 | 3 |
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. Peter J Neidenbach allows following entities to bill medicare on his behalf.
| Entity Name | Medical & Surgical Dermatology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619194404
PECOS PAC ID: 8527969039
Enrollment ID: O20040117000064 |
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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. Peter J Neidenbach 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 |
|---|
Peter J Neidenbach, MD
52 Hospital Dr Ste 3a,
Columbus, NC 28722-8516
Ph: (828) 894-2473 | Peter J Neidenbach, MD
52 Hospital Dr Ste 3a,
Columbus, NC 28722-8516
Ph: (828) 894-2473 |
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