Mr Calvin B Parker Jr, AGPCNP in Raleigh, NC - Medicare Nurse Practitioner

Mr Calvin B Parker Jr, AGPCNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Raleigh, North Carolina. His current practice location is 7100 Six Forks Rd Ste 101, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 790-7070.

Mr Calvin B Parker Jr is licensed to practice in North Carolina (license number 5014456) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174116438.

Contact Information

	Mr Calvin B Parker Jr, AGPCNP
	7100 Six Forks Rd Ste 101, Raleigh, NC 27615-6260
	(919) 790-7070
	(919) 790-7072

Map and Direction

Provider's Profile

Full Name	Mr Calvin B Parker Jr
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	7100 Six Forks Rd Ste 101, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174116438
Provider Enumeration Date: 02/18/2021
Last Update Date: 04/10/2025

Medicare PECOS Information:

PECOS PAC ID: 6800265497
Enrollment ID: I20230719004231

Medical Identifiers

Medical identifiers for Mr Calvin B Parker Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174116438	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	2020093085 (North Carolina)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	5014456 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Calvin B Parker Jr allows following entities to bill medicare on his behalf.

Entity Name	Open Water Medical Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750482493 PECOS PAC ID: 2961314315 Enrollment ID: O20031104000183

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. Mr Calvin B Parker 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
Mr Calvin B Parker Jr, AGPCNP 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: (984) 215-4111	Mr Calvin B Parker Jr, AGPCNP 7100 Six Forks Rd Ste 101, Raleigh, NC 27615-6260 Ph: (919) 790-7070

Reviews and Comments

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Mr Calvin B Parker Jr, AGPCNP - Medicare Nurse Practitioner in Raleigh, NC