Mr John Kersey Throckmorton, DPM - Medicare Podiatrist in Gastonia, NC

Mr John Kersey Throckmorton, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Gastonia, North Carolina. His current practice location is 111 E 3rd Ave, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 874-3300.

Mr John Kersey Throckmorton is licensed to practice in North Carolina (license number 702) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114983723.

Contact Information

Mr John Kersey Throckmorton, DPM
111 E 3rd Ave,
Gastonia, NC 28052-4317
(704) 874-3300
(704) 874-0065



Healthcare Provider's Profile

Full NameMr John Kersey Throckmorton
GenderMale
SpecialityPodiatrist - Primary Podiatric Medicine
Location111 E 3rd Ave, Gastonia, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114983723
  • Provider Enumeration Date: 04/22/2006
  • Last Update Date: 08/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941207658
  • Enrollment ID: I20180710002646

Medical Identifiers

Medical identifiers for Mr John Kersey Throckmorton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114983723NPI-NPPES
5335346OtherBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213EP1101XPodiatrist - Primary Podiatric Medicine 702 (North Carolina)Primary

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. Mr John Kersey Throckmorton allows following entities to bill medicare on his behalf.
Provider NameGaston Family Health Services Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215932215
PECOS PAC ID: 5496733925
Enrollment ID: O20040712000470

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Provider NameGooden Mobile Pod Nc Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073003752
PECOS PAC ID: 2769738715
Enrollment ID: O20180703003175

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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. Mr John Kersey Throckmorton 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
Mr John Kersey Throckmorton, DPM
200 E 2nd Ave,
Gastonia, NC 28052-4358

Ph: (704) 874-1904
Mr John Kersey Throckmorton, DPM
111 E 3rd Ave,
Gastonia, NC 28052-4317

Ph: (704) 874-3300

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Podiatrist in Gastonia, NC

Melanie Eubanks, Llc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1421a E Franklin Blvd, Gastonia, NC 28054
Phone: 704-674-9272    
Mr. Robert Christopher Olson, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2345 Court Drive, Gastonia, NC 28054
Phone: 704-865-0077    Fax: 704-867-6401
Revonda Lashawn Jessup, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2721 X Ray Dr, Gastonia, NC 28054
Phone: 704-874-2255    
Dr. David Russell Kirlin I, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 251 Wilmot Dr, Gastonia, NC 28054
Phone: 704-861-0425    Fax: 704-861-0274
Dr. Wagner Gilbert Santiago, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 251 Wilmot Dr, Gastonia, NC 28054
Phone: 704-861-0425    Fax: 704-861-0274
Dr. Randall J Contento, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 251 Wilmot Dr, Gastonia, NC 28054
Phone: 704-861-0425    

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