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

Mr Joemel Jay Mediavilla Baloyo, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, North Carolina. His current practice location is 200 Tarpon Trl, Jacksonville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 938-1114.

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
	200 Tarpon Trl, Jacksonville, NC 28546-5287
	(910) 938-1114
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Joemel Jay Mediavilla Baloyo
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	200 Tarpon Trl, Jacksonville, 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: 12/15/2023

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	Coastal Carolina Neuropsychiatric Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184737462 PECOS PAC ID: 5890794689 Enrollment ID: O20061205000123

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 200 Tarpon Trl, Jacksonville, NC 28546-5287 Ph: (910) 938-1114

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, NC

Elizabeth B Roberts, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 461 Western Blvd Ste 122, Jacksonville, NC 28546 Phone: 910-333-0283 Fax: 910-333-0513
Stephanny Parker, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118
Leah Christine Fitzgerald, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114a Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0700 Fax: 910-353-5305
Michelle L Snyder, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3280 Henderson Dr Ste C, Jacksonville, NC 28546 Phone: 910-915-8450 Fax: 888-745-7026
Kayla Noel Andrews, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Hargett St, Jacksonville, NC 28540 Phone: 910-219-1082
Paula Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 612 College St, Jacksonville, NC 28540 Phone: 910-347-2154 Fax: 910-347-5227
Mrs. Rebecca Cox Larkin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-577-2345

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