Mr Ravon Lamont Mckoy, FNP in Stanley, NC - Medicare Nurse Practitioner

Mr Ravon Lamont Mckoy, FNP is a medicare enrolled "Nurse Practitioner - Family" in Stanley, North Carolina. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Carolina Express Clinic and his current practice location is 442 S Highway 27, Stanley, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 263-1416.

Mr Ravon Lamont Mckoy is licensed to practice in North Carolina (license number 5009840) 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 1083132898.

Contact Information

	Mr Ravon Lamont Mckoy, FNP
	442 S Highway 27, Stanley, NC 28164-2055
	(704) 263-1416
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ravon Lamont Mckoy
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	442 S Highway 27, Stanley, 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:

Mr Ravon Lamont Mckoy graduated from nursing school in 2022

NPI Data:

NPI Number: 1083132898
Provider Enumeration Date: 08/31/2017
Last Update Date: 01/31/2025

Medicare PECOS Information:

PECOS PAC ID: 7113284357
Enrollment ID: I20171127001626

Medical Identifiers

Medical identifiers for Mr Ravon Lamont Mckoy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083132898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5009840 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5009840 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Shelby, NC	Home health agency
Caromont Regional Medical Center	Gastonia, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolina Express Clinic	5799910642	3

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 Ravon Lamont Mckoy allows following entities to bill medicare on his behalf.

Entity Name	Carolina Medicorp Enterprises Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760950646 PECOS PAC ID: 0648174904 Enrollment ID: O20040110000190

Entity Name	Carolina Express Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427483601 PECOS PAC ID: 5799910642 Enrollment ID: O20131030000863

Entity Name	Kinetic Pulmonology Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346096377 PECOS PAC ID: 6608314067 Enrollment ID: O20240815003697

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 Ravon Lamont Mckoy 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 Ravon Lamont Mckoy, FNP 9714 Springholm Dr, Charlotte, NC 28278-6663 Ph: (919) 423-0997	Mr Ravon Lamont Mckoy, FNP 442 S Highway 27, Stanley, NC 28164-2055 Ph: (704) 263-1416

Reviews and Comments

Nurse Practitioner Nurses in Stanley, NC

Shernette Samuels - Bremnor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 442 S Highway 27, Stanley, NC 28164 Phone: 866-389-2727
Nicole Nalley Tate, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 442 S Highway 27, Stanley, NC 28164 Phone: 704-263-1416 Fax: 401-652-9787
Tiffany Michelle Haley, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 159 E Dallas Rd Ste B, Stanley, NC 28164 Phone: 980-834-5230 Fax: 980-834-9898
Shama Jindani, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 442 S Highway 27, Stanley, NC 28164 Phone: 704-263-1416
Alexandra Faith Lowrance, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 159 E Dallas Rd Ste B, Stanley, NC 28164 Phone: 704-825-5333
Brittany Wyatt Chestnut, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 442 S Highway 27, Stanley, NC 28164 Phone: 704-263-1416

Mr Ravon Lamont Mckoy, FNP - Medicare Nurse Practitioner in Stanley, NC