Mrs Katherine Blackmon Haymore, CPNP in King, NC

Mrs Katherine Blackmon Haymore, CPNP is a medicare enrolled "Nurse Practitioner" in King, North Carolina. Her current practice location is 167 Moore Rd Ste 201, King, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 673-6470.

Mrs Katherine Blackmon Haymore is licensed to practice in North Carolina (license number 5004664) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942524418.

Contact Information

	Mrs Katherine Blackmon Haymore, CPNP
	167 Moore Rd Ste 201, King, NC 27021-8770
	(336) 673-6470
	(336) 673-6489

Map and Direction

Provider's Profile

Full Name	Mrs Katherine Blackmon Haymore
Gender	Female
Speciality	Nurse Practitioner
Location	167 Moore Rd Ste 201, King, 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: 1942524418
Provider Enumeration Date: 03/26/2010
Last Update Date: 01/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5991944134
Enrollment ID: I20181227001825

Medical Identifiers

Medical identifiers for Mrs Katherine Blackmon Haymore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942524418	NPI	-	NPPES
7005300	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5004664 (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. Mrs Katherine Blackmon Haymore allows following entities to bill medicare on her behalf.

Entity Name	Novant Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Mrs Katherine Blackmon Haymore 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
Mrs Katherine Blackmon Haymore, CPNP Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Mrs Katherine Blackmon Haymore, CPNP 167 Moore Rd Ste 201, King, NC 27021-8770 Ph: (336) 673-6470

Reviews and Comments

Nurse Practitioner Nurses in King, NC

Mrs. Tiffany Shante Gibson, APRN,BC, MN, RNC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Moore Rd, King, NC 27021 Phone: 336-983-4346
Mrs. Michele Mariano Lizano, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 167 Moore Rd Ste 206, King, NC 27021 Phone: 336-673-6450 Fax: 336-673-6449
Stephanie Amber Freeman, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Scenic Dr, King, NC 27021 Phone: 336-985-0625
Brittany Bell Everett, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Moore Rd, King, NC 27021 Phone: 336-983-4346
Emily Marion Fischer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Moore Rd, King, NC 27021 Phone: 336-983-4346
Jaden Moore Miethe, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Moore Rd Ste 201, King, NC 27021 Phone: 336-673-6470 Fax: 336-673-6489
Caroline Yates Harbour, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Moore Rd Ste 201, King, NC 27021 Phone: 336-673-6470 Fax: 336-673-6489

Mrs Katherine Blackmon Haymore, CPNP - Medicare Nurse Practitioner in King, NC