Mrs Cristie Wells Faircloth, PA-C, RD, LDN is a medicare enrolled "Physician Assistant" provider in Charlotte, North Carolina. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Beverly N Jones Iii Mdpa and her current practice location is
10130 Perimeter Pkwy, Ste 200, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(888) 849-7379.
Mrs Cristie Wells Faircloth is licensed to practice in North Carolina (license number 0010-1457) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487800314.
Healthcare Provider's Profile
| Full Name | Mrs Cristie Wells Faircloth |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 18 Years |
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| Location | 10130 Perimeter Pkwy, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Cristie Wells Faircloth graduated from medical school in 2006
NPI Data:
- NPI Number: 1487800314
- Provider Enumeration Date: 08/12/2008
- Last Update Date: 02/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 4385708551
- Enrollment ID: I20090203000274
Medical Identifiers
Medical identifiers for Mrs Cristie Wells Faircloth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487800314 | NPI | - | NPPES |
| 8101417 | Medicaid | NC | |
| 17998 | Other | NC | BCBS NC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | L002256 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-1457 (North Carolina) | Primary |
| 133V00000X | Dietitian, Registered | 915208 (North Carolina) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Beverly N Jones Iii Mdpa | 4385630078 | 5 |
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. Mrs Cristie Wells Faircloth 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 Address | Practice Location Address |
|---|
Mrs Cristie Wells Faircloth, PA-C, RD, LDN
10130 Perimeter Pkwy, Ste 200,
Charlotte, NC 28216-2447
Ph: (888) 849-7379 | Mrs Cristie Wells Faircloth, PA-C, RD, LDN
10130 Perimeter Pkwy, Ste 200,
Charlotte, NC 28216-2447
Ph: (888) 849-7379 |
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