Mr Joemel Jay Mediavilla Baloyo, PMHNP-BC in Pinehurst, NC

Mr Joemel Jay Mediavilla Baloyo, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pinehurst, North Carolina. His current practice location is 120 Braemar Ct, Pinehurst, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 562-9882.

Mr Joemel Jay Mediavilla Baloyo is licensed to practice in North Carolina (license number 5019214) 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 1588437065.

Contact Information

	Mr Joemel Jay Mediavilla Baloyo, PMHNP-BC
	120 Braemar Ct, Pinehurst, NC 28374-7207
	(910) 562-9882
	(910) 562-9955

Map and Direction

Provider's Profile

Full Name	Mr Joemel Jay Mediavilla Baloyo
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	120 Braemar Ct, Pinehurst, 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: 1588437065
Provider Enumeration Date: 11/06/2023
Last Update Date: 04/28/2025

Medicare PECOS Information:

PECOS PAC ID: 2860841251
Enrollment ID: I20231211002179

Medical Identifiers

Medical identifiers for Mr Joemel Jay Mediavilla Baloyo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588437065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5019214 (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 Joemel Jay Mediavilla Baloyo allows following entities to bill medicare on his behalf.

Entity Name	Good Hope Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477812519 PECOS PAC ID: 4486566197 Enrollment ID: O20031103000057

Entity Name	Sandhills Behavioral Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437653359 PECOS PAC ID: 5193080166 Enrollment ID: O20180522000324

Entity Name	Optum Behavioral Care Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629843933 PECOS PAC ID: 5092120030 Enrollment ID: O20210224002078

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 Joemel Jay Mediavilla Baloyo 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 Joemel Jay Mediavilla Baloyo, PMHNP-BC 425 Apricot Ln, Carthage, NC 28327-0225 Ph: (309) 513-1459	Mr Joemel Jay Mediavilla Baloyo, PMHNP-BC 120 Braemar Ct, Pinehurst, NC 28374-7207 Ph: (910) 562-9882

Reviews and Comments

Nurse Practitioner Nurses in Pinehurst, NC

Emily Katherine Pellegrini, NP (AGPCNP) Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-5901 Fax: 910-715-5902
Heather Patterson Blackburn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Page Rd, Pinehurst, NC 28374 Phone: 910-295-5511
Rex Boyson Patulin Olpoc, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Regional Dr Ste D, Pinehurst, NC 28374 Phone: 910-221-7195
Jessica Coder, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 145 Applecross Rd, Pinehurst, NC 28374 Phone: 910-692-7928
Sarah Elizabeth Weaver, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Regional Dr, Pinehurst, NC 28374 Phone: 910-255-4400
Michelle Marie Trexler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-2164
Jens Kersten Palmer, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 293 Olmsted Blvd, Suite 4, Pinehurst, NC 28374 Phone: 910-295-3200 Fax: 910-295-3222

Mr Joemel Jay Mediavilla Baloyo, PMHNP-BC - Medicare Nurse Practitioner in Pinehurst, NC