Clint Beaver, MD | |
106 Corporate Park Dr, Suite 200 & 300, Mooresville, NC 28117-7134 | |
(704) 235-9090 | |
(704) 235-9101 |
Full Name | Clint Beaver |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 106 Corporate Park Dr, Mooresville, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558565838 | NPI | - | NPPES |
5915044 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 200901244 (North Carolina) | Secondary |
207Q00000X | Family Medicine | 200901244 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gentiva Health Services | Hickory, NC | Home health agency |
Novant Health Huntersville Medical Center | Huntersville, NC | Hospital |
Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novant Medical Group Inc | 1153234893 | 2023 |
Proactive Therapy Of North Carolina Inc | 6305753120 | 126 |
Carolina Physical Therapy Associates Llc | 7012989684 | 187 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
---|---|
Clint Beaver, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Clint Beaver, MD 106 Corporate Park Dr, Suite 200 & 300, Mooresville, NC 28117-7134 Ph: (704) 235-9090 |
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 | |
Amber Hicks-thibodeau, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 Phone: 704-658-0011 Fax: 704-658-0012 | |
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 |