Jason Adrian Boothe, MD - Medicare Family Practice in Charlotte, NC

Jason Adrian Boothe, MD is a medicare enrolled "Family Medicine" physician in Charlotte, North Carolina. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Novant Medical Group Inc and his current practice location is 6324 Fairview Rd Ste 201, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-0588.

Jason Adrian Boothe is licensed to practice in North Carolina (license number 2016-00166) 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 1093151086.

Contact Information

Jason Adrian Boothe, MD
6324 Fairview Rd Ste 201,
Charlotte, NC 28210-4278
(704) 384-0588
Not Available



Physician's Profile

Full NameJason Adrian Boothe
GenderMale
SpecialityFamily Practice
Experience11 Years
Location6324 Fairview Rd Ste 201, 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:
  • Jason Adrian Boothe graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1093151086
  • Provider Enumeration Date: 05/16/2013
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123244951
  • Enrollment ID: I20170918002365

Medical Identifiers

Medical identifiers for Jason Adrian Boothe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093151086NPI-NPPES
193050OtherNCRTL RESIDENT TRAINING LICENSE NUMBER
2016-00166OtherNCNORTH CAROLINA MEDICAL BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2016-00166 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348931996

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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. Jason Adrian Boothe allows following entities to bill medicare on his behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692

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Entity NameCarolina Medicorp Enterprises Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760950646
PECOS PAC ID: 0648174904
Enrollment ID: O20040110000190

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Entity NameNh Digital Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427683044
PECOS PAC ID: 9537588934
Enrollment ID: O20201005002074

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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. Jason Adrian Boothe 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
Jason Adrian Boothe, MD
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 384-0588
Jason Adrian Boothe, MD
6324 Fairview Rd Ste 201,
Charlotte, NC 28210-4278

Ph: (704) 384-0588

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Family Medicine Doctors in Charlotte, NC

Lillian M. Teigland, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210
Phone: 704-384-0588    Fax: 704-384-0580
Felice A James, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 251 Eastway Dr, Charlotte, NC 28213
Phone: 704-446-9991    
Heather M. Burney, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208
Phone: 704-446-9987    
Dr. Jerome Howard, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6111 Rumple Rd, Charlotte, NC 28262
Phone: 704-596-5067    Fax: 704-599-9458
Vishalakshi Kalyana Sundaram, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207
Phone: 704-304-7000    
Thamrah Rhoxana Wright, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1918 Randolph Rd Ste 275, Charlotte, NC 28207
Phone: 704-384-1354    
Dr. Carlos B Jorge, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 309 S Sharon Amity Rd Ste 206, Charlotte, NC 28211
Phone: 704-360-5018    Fax: 980-273-1102

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