Gregory Allen Mantooth, MD - Medicare Plastic And Reconstructive Surgery in Charlotte, NC

Gregory Allen Mantooth, MD is a medicare enrolled "Plastic Surgery" physician in Charlotte, North Carolina. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Piedmont Plastic Surgery And Dermatology Pa and his current practice location is 5815 Blakeney Park Dr Ste 100, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 542-2220.

Gregory Allen Mantooth is licensed to practice in North Carolina (license number 200101091) 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 1124029707.

Contact Information

Gregory Allen Mantooth, MD
5815 Blakeney Park Dr Ste 100,
Charlotte, NC 28277-5732
(704) 542-2220
(704) 542-3304



Physician's Profile

Full NameGregory Allen Mantooth
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience31 Years
Location5815 Blakeney Park Dr Ste 100, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gregory Allen Mantooth attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1993
  NPI Data:
  • NPI Number: 1124029707
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 06/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2062545205
  • Enrollment ID: I20100809000565

Medical Identifiers

Medical identifiers for Gregory Allen Mantooth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124029707NPI-NPPES
8912965MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 200101091 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Plastic Surgery And Dermatology Pa680087518848

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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. Gregory Allen Mantooth allows following entities to bill medicare on his behalf.
Entity NamePiedmont Plastic Surgery & Dermatology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801832837
PECOS PAC ID: 6800875188
Enrollment ID: O20040719001562

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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. Gregory Allen 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
Gregory Allen Mantooth, MD
1072 X Ray Dr Ste B,
Gastonia, NC 28054-7488

Ph: (704) 671-1094
Gregory Allen Mantooth, MD
5815 Blakeney Park Dr Ste 100,
Charlotte, NC 28277-5732

Ph: (704) 542-2220

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Plastic Surgery Doctors in Charlotte, NC

Dr. Michael Steven Gart, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1915 Randolph Rd, Charlotte, NC 28207
Phone: 704-323-2000    
Dr. Ryan Michael Garcia, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1915 Randolph Rd, Charlotte, NC 28207
Phone: 704-323-2000    
Dr. Miguel Angel Yanez, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5815 Blakeney Park Dr Ste 100, Charlotte, NC 28277
Phone: 704-542-2220    Fax: 704-572-3304
David Charles Alexander Fisher, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Morehead Medical Dr, Ste 200, Charlotte, NC 28204
Phone: 704-446-6810    
Michael H Carstens, MD
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1719 South Blvd # B, Charlotte, NC 28203
Phone: 704-375-2955    Fax: 704-377-2766
Dr. Robin J Hennessy, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 315 Arlington Ave, Suite 2003, Charlotte, NC 28203
Phone: 704-444-3301    

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