Gabriel Jack Paulson, DPT is a medicare enrolled "Physical Therapist" provider in Kenansville, North Carolina. He graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Vidant Medical Group Llc and his current practice location is
514 South Main St, Kenansville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 372-9300.
Gabriel Jack Paulson is licensed to practice in North Carolina (license number P24575) 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 1659239911.
Healthcare Provider's Profile
| Full Name | Gabriel Jack Paulson |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 1 Years |
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| Location | 514 South Main St, Kenansville, 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:
- Gabriel Jack Paulson graduated from medical school in 2025
NPI Data:
- NPI Number: 1659239911
- Provider Enumeration Date: 01/14/2026
- Last Update Date: 01/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 5890270433
- Enrollment ID: I20260331004005
Medical Identifiers
Medical identifiers for Gabriel Jack Paulson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659239911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | P24575 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vidant Medical Group Llc | 0345343893 | 971 |
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. Gabriel Jack Paulson 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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Gabriel Jack Paulson, DPT
401 N Main St,
Kenansville, NC 28349-8801
Ph: (910) 296-0941 | Gabriel Jack Paulson, DPT
514 South Main St,
Kenansville, NC 28349
Ph: (910) 372-9300 |
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