The Sanger Clinic Pa is a
Nurse Practitioner - Pediatrics based in Charlotte, North Carolina. The Sanger Clinic Pa is licensed to practice in North Carolina (license number ) and their current practice location is
1001 Blythe Blvd Ste 300, Charlotte, North Carolina. It can be reached at their office (for appointments etc.) via phone at
(704) 373-0212.
NPI number for The Sanger Clinic Pa is 1912073743 and their current mailing address is 1001 Blythe Blvd Ste 300, Charlotte, North Carolina. The Sanger Clinic Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1912073743.
Healthcare Provider's Profile
| Full Name | The Sanger Clinic Pa |
|---|
| Type | Facility |
|---|
| Speciality | Nurse Practitioner - Pediatrics |
|---|
| Location | 1001 Blythe Blvd Ste 300, Charlotte, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912073743
- Provider Enumeration Date: 11/24/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for The Sanger Clinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912073743 | NPI | - | NPPES |
| GP0129 | Medicaid | SC | |
| 8902815 | Medicaid | NC | |
| 02815 | Other | NC | BCBS |
| 028150 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (North Carolina) | Primary |
| 207R00000X | Internal Medicine | (North Carolina) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (North Carolina) | Primary |
| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | (North Carolina) | Primary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | (North Carolina) | Primary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | (North Carolina) | Primary |
| 2086S0120X | Surgery - Pediatric Surgery | (North Carolina) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | (North Carolina) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | (North Carolina) | Primary |
| 363AM0700X | Physician Assistant - Medical | (North Carolina) | Primary |
| 363AS0400X | Physician Assistant - Surgical | (North Carolina) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | (North Carolina) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (North Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (North Carolina) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | (North Carolina) | Primary |
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. The Sanger Clinic Pa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
The Sanger Clinic Pa
1001 Blythe Blvd Ste 300,
Charlotte, NC 28203-5863
Ph: (704) 373-0212 | The Sanger Clinic Pa
1001 Blythe Blvd Ste 300,
Charlotte, NC 28203-5863
Ph: (704) 373-0212 |
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