William John Edmiston Jr, MD in Mooresville, NC

William John Edmiston Jr, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Mooresville, North Carolina. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Iredell Physician Network Llc and his current practice location is 170 Medical Park Rd, Suite 301, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 360-4378.

William John Edmiston Jr is licensed to practice in North Carolina (license number 200000410) 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 1053420190.

Contact Information

	William John Edmiston Jr, MD
	170 Medical Park Rd, Suite 301, Mooresville, NC 28117-8540
	(704) 360-4378
	(704) 696-8150

Map and Direction

Physician's Profile

Full Name	William John Edmiston Jr
Gender	Male
Speciality	Pain Management
Experience	33 Years
Location	170 Medical Park Rd, Mooresville, 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:

William John Edmiston Jr graduated from medical school in 1991

NPI Data:

NPI Number: 1053420190
Provider Enumeration Date: 08/30/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1759416050
Enrollment ID: I20100311000678

Medical Identifiers

Medical identifiers for William John Edmiston Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053420190	NPI	-	NPPES
891269N	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0014X	Pain Medicine - Interventional Pain Medicine	200000410 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Iredell Memorial Hospital Inc	Statesville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iredell Physician Network Llc	0749345007	65

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. William John Edmiston Jr allows following entities to bill medicare on his behalf.

Entity Name	Iredell Physician Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811381593 PECOS PAC ID: 0749345007 Enrollment ID: O20090219000651

Entity Name	Interventional Pain Management Of Lake Norman Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992003339 PECOS PAC ID: 7810167988 Enrollment ID: O20110826000677

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. William John Edmiston Jr 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
William John Edmiston Jr, MD 170 Medical Park Rd, Suite 301, Mooresville, NC 28117-8540 Ph: (704) 360-4378	William John Edmiston Jr, MD 170 Medical Park Rd, Suite 301, Mooresville, NC 28117-8540 Ph: (704) 360-4378

Reviews and Comments

Pain Medicine Doctors in Mooresville, NC

Dr. Patrick Jacques Laguerre, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 146 Medical Park Road, Suite 108, Mooresville, NC 28117 Phone: 704-662-0877 Fax: 704-662-0875
Mark C Hines, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd, Suite 310, Mooresville, NC 28117 Phone: 704-360-2260 Fax: 704-360-2274

William John Edmiston Jr, MD - Medicare Pain Management in Mooresville, NC