Amber Hicks-thibodeau, | |
798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | |
(704) 658-0011 | |
(704) 658-0012 |
Full Name | Amber Hicks-thibodeau |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 9 Years |
Location | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063869469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2015-02105 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Norman Regional Medical Center | Mooresville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mooresville Ppm Llc | 3577614791 | 37 |
Entity Name | Mooresville Ppm Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700028982 PECOS PAC ID: 3577614791 Enrollment ID: O20090630000206 |
Mailing Address | Practice Location Address |
---|---|
Amber Hicks-thibodeau, 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 Ph: (704) 658-0011 | Amber Hicks-thibodeau, 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 Ph: (704) 658-0011 |
Dr. Eva A Imperial, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 114 Gateway Blvd Ste B, Mooresville, NC 28117 Phone: 980-435-0409 | |
Alissandro Roque Castillo, MD, MBA Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 478 Williamson Rd, Suite B, Mooresville, NC 28117 Phone: 704-662-3627 Fax: 704-662-3229 | |
Dr. Rebecca Mcelhannon Panuski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Corporate Park Dr, Suite 200 & 300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101 | |
Dr. Bruce S Mather, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Corporate Park Dr, Suite 200 & 300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101 | |
Dr. Craig Lincoln Anthony, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101 | |
Emily Marie Nabors, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 142 Professional Park Dr Ste 300, Mooresville, NC 28117 Phone: 704-696-2083 Fax: 704-924-7742 |