Ms Macy Alexandra Mantooth, PA-C - Medicare Physician Assistant in Cary, NC

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Ms Macy Alexandra Mantooth, PA-C is a medicare enrolled "Physician Assistant" in Cary, North Carolina. She went to Wake Forest University School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice North Carolina Mg Llc, Avance Care Pa and her current practice location is 115 Crescentcommons Dr Ste 100, Cary, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 803-3707.

Ms Macy Alexandra Mantooth is licensed to practice in North Carolina (license number 0010-12344) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598404055.

Contact Information

Ms Macy Alexandra Mantooth, PA-C
115 Crescentcommons Dr Ste 100,
Cary, NC 27518-8102
(919) 803-3707
(919) 803-1969

Map and Direction




Provider's Profile

Full NameMs Macy Alexandra Mantooth
GenderFemale
SpecialityPhysician Assistant
Experience4 Years
Location115 Crescentcommons Dr Ste 100, Cary, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Macy Alexandra Mantooth attended and graduated from Wake Forest University School Of Medicine in 2022
  NPI Data:
  • NPI Number: 1598404055
  • Provider Enumeration Date: 06/02/2022
  • Last Update Date: 11/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123402542
  • Enrollment ID: I20220903000146

Medical Identifiers

Medical identifiers for Ms Macy Alexandra Mantooth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598404055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-12344 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rex HospitalRaleigh, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Carolina Mg Llc1951828847723
Avance Care Pa3577634476244

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. Ms Macy Alexandra Mantooth allows following entities to bill medicare on her behalf.
Entity NameMed First Immediate Care & Family Practice PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053503763
PECOS PAC ID: 0446332720
Enrollment ID: O20080124000674
Entity NameAvance Care PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487845020
PECOS PAC ID: 3577634476
Enrollment ID: O20080620000196
Entity NameNorth Carolina MG LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215741640
PECOS PAC ID: 1951828847
Enrollment ID: O20250505001643

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. Ms Macy Alexandra Mantooth 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 AddressPractice Location Address
Ms Macy Alexandra Mantooth, PA-C
4705 University Dr Bldg 700,
Durham, NC 27707-3489

Ph: (919) 237-1337		Ms Macy Alexandra Mantooth, PA-C
115 Crescentcommons Dr Ste 100,
Cary, NC 27518-8102

Ph: (919) 803-3707

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.