Beverly M Mott, FNP in Wallace, NC - Medicare Nurse Practitioner

Beverly M Mott, FNP is a medicare enrolled "Nurse Practitioner - Family" in Wallace, North Carolina. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vidant Medical Group Llc, County Of Duplin and her current practice location is 125 River Vine Pkwy, Wallace, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 285-2134.

Beverly M Mott is licensed to practice in North Carolina (license number 5013422) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750995676.

Contact Information

	Beverly M Mott, FNP
	125 River Vine Pkwy, Wallace, NC 28466-2377
	(910) 285-2134
	(910) 285-4610

Map and Direction

Provider's Profile

Full Name	Beverly M Mott
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	125 River Vine Pkwy, Wallace, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Beverly M Mott graduated from nursing school in 2020

NPI Data:

NPI Number: 1750995676
Provider Enumeration Date: 09/08/2020
Last Update Date: 05/14/2026

Medicare PECOS Information:

PECOS PAC ID: 3072921238
Enrollment ID: I20210428001119

Medical Identifiers

Medical identifiers for Beverly M Mott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750995676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5013422 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vidant Duplin Hospital	Kenansville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vidant Medical Group Llc	0345343893	971
County Of Duplin	1456341536	4

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. Beverly M Mott allows following entities to bill medicare on her behalf.

Entity Name	County Of Duplin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235198177 PECOS PAC ID: 1456341536 Enrollment ID: O20040512001545

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. Beverly M Mott 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
Beverly M Mott, FNP 125 River Vine Pkwy, Wallace, NC 28466-2377 Ph: (910) 285-2134	Beverly M Mott, FNP 125 River Vine Pkwy, Wallace, NC 28466-2377 Ph: (910) 285-2134

Reviews and Comments

Nurse Practitioner Nurses in Wallace, NC

Dr. Victoria Baucom Matthews, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr Ste D, Wallace, NC 28466 Phone: 910-665-1437
Claudia Compton Smith, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Eastwood Drive, Wallace, NC 28466 Phone: 910-285-2330 Fax: 910-285-3060
Mrs. Bethany Cavan Treibley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Eastwood Dr, Wallace, NC 28466 Phone: 910-285-2330 Fax: 910-267-8995
Kayla Sholar Walker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Eastwood Dr, Wallace, NC 28466 Phone: 910-285-2330
Mary Anna Johnson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 E Murphy St, Wallace, NC 28466 Phone: 910-285-4100 Fax: 910-285-4766
Mrs. Jennifer Nicole Brennan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Medical Village Dr Ste G, Wallace, NC 28466 Phone: 910-552-1580

Beverly M Mott, FNP - Medicare Nurse Practitioner in Wallace, NC