Triad Medical Group Pa - Medicare Mental Health Clinic in Greensboro, NC

Triad Medical Group Pa is a medicare enrolled mental health clinic (Family Medicine) in Greensboro, North Carolina. The current practice location for Triad Medical Group Pa is 2031 Martin Luther King Jr Dr, Greensboro, North Carolina. For appointments, you can reach them via phone at (704) 838-0516. The mailing address for Triad Medical Group Pa is 2031 Martin Luther King Jr Dr Ste A, Greensboro, North Carolina and phone number is (336) 790-9787.

Triad Medical Group Pa is licensed to practice in North Carolina (license number 39460). The clinic also participates in the medicare program and its NPI number is 1194267336. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (704) 838-0516.

Contact Information

Triad Medical Group Pa
2031 Martin Luther King Jr Dr
Greensboro
NC 27406-3342
(704) 838-0516
(704) 838-0565

Map and Direction


Mental Health Clinic Profile

Full NameTriad Medical Group Pa
SpecialityFamily Medicine
Location2031 Martin Luther King Jr Dr, Greensboro, North Carolina
Authorized Official Name and PositionNekita Clyburn (BILLING ADMINISTRATION)
Authorized Official Contact3367909787
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Triad Medical Group Pa
2031 Martin Luther King Jr Dr Ste A
Greensboro
NC 27406-3300

Ph: (336) 790-9787
Triad Medical Group Pa
2031 Martin Luther King Jr Dr
Greensboro
NC 27406-3342

Ph: (704) 838-0516

NPI Details:

NPI Number1194267336
Provider Enumeration Date11/04/2016
Last Update Date08/06/2019

Medicare PECOS Information:

Medicare PECOS PAC ID4183900210
Medicare Enrollment IDO20170404000997

Medical Identifiers

Medical identifiers for Triad Medical Group Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194267336NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
207R00000XInternal Medicine 39460 (North Carolina)Secondary
207Q00000XFamily Medicine 39460 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Triad Medical Group Pa acts as a billing entity for following providers:
Provider NameLinda D Greninger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154488203
PECOS PAC ID: 2062473820
Enrollment ID: I20041025000654
Provider NameDonna F Odem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205850054
PECOS PAC ID: 3072612092
Enrollment ID: I20070615000332
Provider NameAyyaz Mahmood Qureshi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730114026
PECOS PAC ID: 1456402312
Enrollment ID: I20090706000581
Provider NameShamsher Singh Ahluwalia
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497943286
PECOS PAC ID: 9537217385
Enrollment ID: I20090914000424
Provider NameLovika L Horton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235530825
PECOS PAC ID: 5890002117
Enrollment ID: I20160120001829
Provider NamePaula B Evans
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942672555
PECOS PAC ID: 9436418233
Enrollment ID: I20180124003166

Reviews and Comments

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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.