MEDICARE: MEDASSIST, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor		NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427262468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDASSIST, INC.

Provider Business Mailing Address
First Line	:	900-C LAKE BOONE TRAIL
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6663
Country	:	US
Telephone Number	:	919-785-9000
Fax Number	:	919-785-9000

Provider Business Practice Location Address
First Line	:	900-C LAKE BOONE TRAIL
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6663
Country	:	US
Telephone Number	:	919-785-9000
Fax Number	:	919-785-9000

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DON CARLOUGH
Credential	:
Telephone Number	:	919-785-9000

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	08/22/2020

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Directions to “MEDASSIST, INC. ” Practice Location

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