Mr Terry Carson Belisle, is a medicare enrolled "Nurse Practitioner - Family" in Damascus, Virginia. His current practice location is
20471 Azen Rd, Damascus, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 388-3411.
Mr Terry Carson Belisle is licensed to practice in Virginia (license number 0024172789) 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 1396120192.
Provider's Profile
| Full Name | Mr Terry Carson Belisle |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 20471 Azen Rd, Damascus, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396120192
- Provider Enumeration Date: 07/22/2015
- Last Update Date: 07/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 6608183280
- Enrollment ID: I20150915000389
Medical Identifiers
Medical identifiers for Mr Terry Carson Belisle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396120192 | NPI | - | NPPES |
| 0024172789 | Other | VA | BOARD OF NURSING |
| 0001222794 | Other | VA | BOARD OF NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 0001222794 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024172789 (Virginia) | Primary |
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 Terry Carson Belisle 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 Terry Carson Belisle, Po Box 608, Pennington Gap, VA 24277-0608 Ph: (276) 546-2165 | Mr Terry Carson Belisle, 20471 Azen Rd, Damascus, VA 24236-4141 Ph: (276) 388-3411 |
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