Thomas E Payne, NP is a medicare enrolled "Nurse Practitioner" in Mt Airy, North Carolina. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wake Forest University Health Sciences and his current practice location is
865 W Lake Dr, Mt Airy, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 719-6100.
Thomas E Payne is licensed to practice in North Carolina (license number ) 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 1316907579.
Provider's Profile
| Full Name | Thomas E Payne |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 865 W Lake Dr, Mt Airy, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas E Payne graduated from nursing school in 2012
NPI Data:
- NPI Number: 1316907579
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2365462579
- Enrollment ID: I20051202000474
Medical Identifiers
Medical identifiers for Thomas E Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316907579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wake Forest University Health Sciences | 4486564952 | 2274 |
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. Thomas E Payne allows following entities to bill medicare on his behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436 |
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| Entity Name | Grace Clinic Of Yadkin Valley |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356852511
PECOS PAC ID: 4587925961
Enrollment ID: O20180227002148 |
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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. Thomas E Payne 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 |
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Thomas E Payne, NP
2000 Frontis Plaza Blvd Ste 200, Attn Forsyth Medical Group,
Winston Salem, NC 27103-5616
Ph: (336) 277-2436 | Thomas E Payne, NP
865 W Lake Dr,
Mt Airy, NC 27030-2157
Ph: (336) 719-6100 |
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