Scott Sexton, MD - Medicare Pediatrics in Southern Pines, NC

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Scott Sexton, MD is a medicare enrolled "Pediatrics" physician in Southern Pines, North Carolina. His current practice location is 195 W Illinois Ave, Southern Pines, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 692-2444.

Scott Sexton is licensed to practice in North Carolina (license number 2018-01764) 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 1568857829.

Contact Information

Scott Sexton, MD
195 W Illinois Ave,
Southern Pines, NC 28387-5808
(910) 692-2444
Not Available

Map and Direction




Physician's Profile

Full NameScott Sexton
GenderMale
SpecialityPediatrics
Location195 W Illinois Ave, Southern Pines, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568857829
  • Provider Enumeration Date: 04/03/2015
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244573343
  • Enrollment ID: I20190513000892

Medical Identifiers

Medical identifiers for Scott Sexton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568857829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2018-01764 (North Carolina)Secondary

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. Scott Sexton allows following entities to bill medicare on his behalf.
Entity NamePrivate Diagnostic Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577
Entity NameNorth Carolina Group Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629415914
PECOS PAC ID: 4789827254
Enrollment ID: O20130830000807

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. Scott Sexton 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
Scott Sexton, MD
195 W Illinois Ave,
Southern Pines, NC 28387-5808

Ph: (910) 692-2444		Scott Sexton, MD
195 W Illinois Ave,
Southern Pines, NC 28387-5808

Ph: (910) 692-2444

Reviews and Comments


Pediatrics Doctors in Southern Pines, NC

Sarah Locklear Brewington, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 195 W Illinois Ave, Southern Pines, NC 28387
Phone: 910-692-2444    
Dr. Lindsey M. Bellamy, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 195 W Illinois Ave, Southern Pines, NC 28387
Phone: 910-692-2444    
Sarah Elizabeth Carr, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 195 W Illinois Ave, Southern Pines, NC 28387
Phone: 910-692-2444    
Dr. Joseph C Boals Iv, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 195 W Illinois Ave, Southern Pines, NC 28387
Phone: 910-692-2444    Fax: 910-692-3651
Dr. Nora C Mason, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 195 W Illinois Ave, Southern Pines, NC 28387
Phone: 910-692-2444    Fax: 910-692-3651
Jennifer M Mabry, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 195 W Illinois Ave, Southern Pines, NC 28387
Phone: 910-692-2444    Fax: 910-692-3651
Dr. Kathleen M. Clarke-pearson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 195 W Illinois Ave, Southern Pines, NC 28387
Phone: 910-692-2444    Fax: 910-692-3651

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.