Gapover Md, Pllc - Medicare Primary Care in Matthews, NC

Gapover Md, Pllc is a medicare enrolled primary clinic (Family Medicine) in Matthews, North Carolina. The current practice location for Gapover Md, Pllc is 5023 Weddington Matthews Rd, Matthews, North Carolina. For appointments, you can reach them via phone at (704) 724-0909. The mailing address for Gapover Md, Pllc is 5023 Weddington Matthews Rd, Matthews, North Carolina and phone number is (704) 724-0909.

Gapover Md, Pllc is licensed to practice in North Carolina (license number 33372). The clinic also participates in the medicare program and its NPI number is 1114370988. 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 (704) 724-0909.

Contact Information

Gapover Md, Pllc
5023 Weddington Matthews Rd
Matthews
NC 28104-9413
(704) 724-0909
(704) 846-0538

Primary Care Clinic Profile

Full NameGapover Md, Pllc
SpecialityFamily Medicine
Location5023 Weddington Matthews Rd, Matthews, North Carolina
Authorized Official Name and PositionEverlyn L Hall Baker (CEO)
Authorized Official Contact7047240909
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gapover Md, Pllc
5023 Weddington Matthews Rd
Matthews
NC 28104-9413

Ph: (704) 724-0909
Gapover Md, Pllc
5023 Weddington Matthews Rd
Matthews
NC 28104-9413

Ph: (704) 724-0909

NPI Details:

NPI Number1114370988
Provider Enumeration Date07/18/2016
Last Update Date07/18/2016

Medicare PECOS Information:

Medicare PECOS PAC ID1456622653
Medicare Enrollment IDO20170807001860

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Medical Identifiers

Medical identifiers for Gapover Md, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114370988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 33372 (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. Gapover Md, Pllc acts as a billing entity for following providers:
Provider NameEverlyn Hall-baker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174574149
PECOS PAC ID: 5496750572
Enrollment ID: I20060923000024

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Provider NameRaymond Tanwani Tah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518482710
PECOS PAC ID: 0345516761
Enrollment ID: I20171030001125

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