Star Medical Clinic Pllc - Medicare Primary Care in Jacksonville, NC

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Star Medical Clinic Pllc is a medicare enrolled primary clinic (General Practice) in Jacksonville, North Carolina. The current practice location for Star Medical Clinic Pllc is 461 Western Blvd Ste 122, Jacksonville, North Carolina. For appointments, you can reach them via phone at (910) 333-0283. The mailing address for Star Medical Clinic Pllc is 461 Western Blvd Ste 122, Jacksonville, North Carolina and phone number is (910) 333-0283.

Star Medical Clinic Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033565007. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (910) 333-0283.

Contact Information

Star Medical Clinic Pllc
461 Western Blvd Ste 122
Jacksonville
NC 28546-7637
(910) 333-0283
(910) 333-0513

Map and Direction


Primary Care Clinic Profile

Full NameStar Medical Clinic Pllc
SpecialityGeneral Practice
Location461 Western Blvd Ste 122, Jacksonville, North Carolina
Authorized Official Name and PositionKevin R Scyoc (CEO)
Authorized Official Contact9103302335
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Star Medical Clinic Pllc
461 Western Blvd Ste 122
Jacksonville
NC 28546-7637

Ph: (910) 333-0283		Star Medical Clinic Pllc
461 Western Blvd Ste 122
Jacksonville
NC 28546-7637

Ph: (910) 333-0283

NPI Details:

NPI Number1033565007
Provider Enumeration Date05/10/2016
Last Update Date06/17/2019

Medicare PECOS Information:

Medicare PECOS PAC ID6800183963
Medicare Enrollment IDO20160919000529

Medical Identifiers

Medical identifiers for Star Medical Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033565007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Star Medical Clinic Pllc acts as a billing entity for following providers:
Provider NameMelissa Ann Presley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457370546
PECOS PAC ID: 2062488695
Enrollment ID: I20070822001296
Provider NameJames D Worriax
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740482108
PECOS PAC ID: 6103904776
Enrollment ID: I20080422000805
Provider NameLela Mae Hopson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700022449
PECOS PAC ID: 7113083833
Enrollment ID: I20090304000806
Provider NamePauline Frederick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881853463
PECOS PAC ID: 7315105939
Enrollment ID: I20120228000274
Provider NameJeremy K Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164974796
PECOS PAC ID: 8325320245
Enrollment ID: I20170127002342
Provider NameCynthia Dixon Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649771536
PECOS PAC ID: 0941563175
Enrollment ID: I20180420001469
Provider NameAudry Simpson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902399348
PECOS PAC ID: 6406103456
Enrollment ID: I20180720002705
Provider NameJennifer Ficca Flinchum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407334105
PECOS PAC ID: 4981954179
Enrollment ID: I20180910001898
Provider NameWilliam Thomas Fossett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851860183
PECOS PAC ID: 5193061083
Enrollment ID: I20190114003318
Provider NameTamara Marshall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730642109
PECOS PAC ID: 4789926064
Enrollment ID: I20190507002140
Provider NameRegina Yost
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396375523
PECOS PAC ID: 1153759410
Enrollment ID: I20200319001941
Provider NameKaren Ann Chavis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881247708
PECOS PAC ID: 5799114831
Enrollment ID: I20200410001775
Provider NameAmanda Allison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194350827
PECOS PAC ID: 5294165874
Enrollment ID: I20200422001808
Provider NameJessica Lloyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770136566
PECOS PAC ID: 5496185951
Enrollment ID: I20200423002527
Provider NameJulia Andrea Garcia Whitaker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518575638
PECOS PAC ID: 1153745070
Enrollment ID: I20200723002588
Provider NameJulie Mallin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376042499
PECOS PAC ID: 3072925338
Enrollment ID: I20201210002498
Provider NamePaula Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063024677
PECOS PAC ID: 9234537697
Enrollment ID: I20211015000347
Provider NameJeanne Marie Damore Vacca
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760937452
PECOS PAC ID: 0749548550
Enrollment ID: I20220203001827
Provider NameJennifer Leigh Jewell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194310078
PECOS PAC ID: 9638566003
Enrollment ID: I20220504000363
Provider NameElizabeth Barlow Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033580253
PECOS PAC ID: 4183913171
Enrollment ID: I20220902001128
Provider NameMichelle Dalilah Holmes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265171219
PECOS PAC ID: 5698147866
Enrollment ID: I20230216001376
Provider NameHennimari Coetzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376220574
PECOS PAC ID: 4385004951
Enrollment ID: I20230713003002
Provider NameAmanda Jolene Rhodes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538843115
PECOS PAC ID: 0446613723
Enrollment ID: I20230905001405
Provider NameSavanna Brook Axelberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780445569
PECOS PAC ID: 7214373232
Enrollment ID: I20240313001860

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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.