Jeffrey Wayne Autry, FNP in Clinton, NC - Medicare Nurse Practitioner

Jeffrey Wayne Autry, FNP is a medicare enrolled "Nurse Practitioner" in Clinton, North Carolina. He graduated from nursing school in 2001 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wallace Urgent Care Llc and his current practice location is 1004 Beamon St., Clinton, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 592-9113.

Jeffrey Wayne Autry is licensed to practice in North Carolina (license number 105149) 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 1063474559.

Contact Information

	Jeffrey Wayne Autry, FNP
	1004 Beamon St., Clinton, NC 28328-0227
	(910) 592-9113
	(910) 590-0050

Map and Direction

Provider's Profile

Full Name	Jeffrey Wayne Autry
Gender	Male
Speciality	Nurse Practitioner
Experience	24 Years
Location	1004 Beamon St., Clinton, 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:

Jeffrey Wayne Autry graduated from nursing school in 2001

NPI Data:

NPI Number: 1063474559
Provider Enumeration Date: 04/03/2006
Last Update Date: 11/21/2007

Medicare PECOS Information:

PECOS PAC ID: 9537253208
Enrollment ID: I20070926000274

Medical Identifiers

Medical identifiers for Jeffrey Wayne Autry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063474559	NPI	-	NPPES
2344540	Other	NC	MEDICARE GROUP NO
2806457A	Other	NC	MEDICARE INDIV PROVIDER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	105149 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wallace Urgent Care Llc	6709967912	5

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. Jeffrey Wayne Autry allows following entities to bill medicare on his behalf.

Entity Name	Wallace Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841259025 PECOS PAC ID: 6709967912 Enrollment ID: O20080222000491

Entity Name	Sampson Regional Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730311648 PECOS PAC ID: 6406992817 Enrollment ID: O20091014000771

Entity Name	Urgent Care Of Wallace Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699372243 PECOS PAC ID: 7911318308 Enrollment ID: O20201116000446

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. Jeffrey Wayne Autry 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
Jeffrey Wayne Autry, FNP 1004 Beamon St., Clinton, NC 28328-0227 Ph: (910) 592-9113	Jeffrey Wayne Autry, FNP 1004 Beamon St., Clinton, NC 28328-0227 Ph: (910) 592-9113

Reviews and Comments

Nurse Practitioner Nurses in Clinton, NC

Hayley Brott, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-590-6011
Sharry Jackson Malpass, DNP, NP-C, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811
Jill Anne Breton, CNM, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 County Complex Rd Ste 200, Clinton, NC 28328 Phone: 910-592-1131 Fax: 910-592-4724
Jamie Alysse Weiner, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011
Mrs. Lauren Elaine Aves, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811
Mrs. Tara Lynn Marr-carter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811

Jeffrey Wayne Autry, FNP - Medicare Nurse Practitioner in Clinton, NC