Roman Peele Blount Iv, - Medicare Family Medicine in Cornelius, NC

Roman Peele Blount Iv, is a medicare enrolled "Family Medicine" physician in Cornelius, North Carolina. His current practice location is 19475 Old Jetton Rd Ste 200, Cornelius, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-1775.

Roman Peele Blount Iv is licensed to practice in North Carolina (license number BLOU-LA8994) 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 1003496720.

Contact Information

Roman Peele Blount Iv,
19475 Old Jetton Rd Ste 200,
Cornelius, NC 28031-6591
(704) 384-1775
Not Available

Map and Direction




Physician's Profile

Full NameRoman Peele Blount Iv
GenderMale
SpecialityFamily Medicine
Location19475 Old Jetton Rd Ste 200, Cornelius, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003496720
  • Provider Enumeration Date: 04/08/2021
  • Last Update Date: 07/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072915263
  • Enrollment ID: I20210709002802

Medical Identifiers

Medical identifiers for Roman Peele Blount Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003496720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine BLOU-LA8994 (North Carolina)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. Roman Peele Blount Iv 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 AddressPractice Location Address
Roman Peele Blount Iv,
19475 Old Jetton Rd Ste 200,
Cornelius, NC 28031-6591

Ph: (704) 384-1775
Roman Peele Blount Iv,
19475 Old Jetton Rd Ste 200,
Cornelius, NC 28031-6591

Ph: (704) 384-1775

Reviews and Comments


Family Medicine Doctors in Cornelius, NC

Dr. Amy Lowery Alexanian, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd, Suite 100, Cornelius, NC 28031
Phone: 704-384-1775    Fax: 704-384-1776
Dr. Amanda E White, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 200, Cornelius, NC 28031
Phone: 704-316-5136    
Dr. Christopher A Zagar, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd, Suite 100, Cornelius, NC 28031
Phone: 704-384-1775    Fax: 704-384-1776
Jackie Rex Faircloth, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20036 Zion Ave, Ste 100, Cornelius, NC 28031
Phone: 704-801-7400    
Dr. Puja Dalal,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031
Phone: 704-316-5170    Fax: 704-316-5172
Dr. Mark Vincent, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd, Suite 100, Cornelius, NC 28031
Phone: 704-384-1775    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.