Online Bill Payment - Northern Gastroenterology

Thank you for using our online bill payment system, an easy and secure way to pay your medical bills. Please complete the required information (denoted by an *) below and click “SUBMIT” at the bottom of this page. A Patient Financial Services representative will process your payment and you will receive notification that your payment has been completed via e-mail if you provide your e-mail address. If you have questions about your Northern Gastro bill, please call (336) 719-7183.
Amount   *  
Credit Card Number   *
Expiration Date   
Card Security Code(CSC)   *  
FirstName on Credit Card    *
LastName on Credit Card   *
First Name   *
Last Name   *
Address   *
Address Continued 
City   *
State   *
Zip   *  
Country   *
Email   *
Phone Number 
Account Number   *
Patient Name on Account   *

Please note this Online Bill Pay is to enter payments only. All payments are final. If you have any questions, please call 336-719-7304 and someone will assist you.

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