Stephen Immordino, MSN, FNP, NP-C, CDE is a medicare enrolled "Nurse Practitioner - Family" physician in Greensboro, North Carolina. He graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice M Medical Nc Pllc and his current practice location is
3724 Wireless Dr, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 540-9991.
Stephen Immordino is licensed to practice in North Carolina (license number 5011944) 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 1760044762.
Physician's Profile
| Full Name | Stephen Immordino |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 3724 Wireless Dr, Greensboro, 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:
- Stephen Immordino graduated from medical school in 2019
NPI Data:
- NPI Number: 1760044762
- Provider Enumeration Date: 07/01/2019
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800126871
- Enrollment ID: I20190918002306
Medical Identifiers
Medical identifiers for Stephen Immordino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760044762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5011944 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5011944 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| M Medical Nc Pllc | 3870035066 | 23 |
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. Stephen Immordino allows following entities to bill medicare on his behalf.
| Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356372064
PECOS PAC ID: 6204744600
Enrollment ID: O20031124000541 |
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| Entity Name | Alamance Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326010273
PECOS PAC ID: 5294647145
Enrollment ID: O20040504000878 |
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| Entity Name | M Medical Nc Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770337412
PECOS PAC ID: 3870035066
Enrollment ID: O20240603003384 |
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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. Stephen Immordino 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 |
|---|
Stephen Immordino, MSN, FNP, NP-C, CDE
1610 Wendy Ln,
Efland, NC 27243-9675
Ph: (516) 319-3966 | Stephen Immordino, MSN, FNP, NP-C, CDE
3724 Wireless Dr,
Greensboro, NC 27455-3312
Ph: (336) 540-9991 |
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