Katherine A Averill, MD | |
200 Hospital Ave, Jefferson, NC 28640-9244 | |
(336) 846-7433 | |
(336) 846-7878 |
Full Name | Katherine A Averill |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 200 Hospital Ave, Jefferson, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033158399 | NPI | - | NPPES |
010081904 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 0101057370 (Virginia) | Secondary |
207V00000X | Obstetrics & Gynecology | 1917 (North Carolina) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Entity Name | Ashe Financial Services Llc |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1295193340 PECOS PAC ID: 8729377692 Enrollment ID: O20160516001931 |
Mailing Address | Practice Location Address |
---|---|
Katherine A Averill, MD 2000 Perimeter Park Dr Ste 200, Morrisville, NC 27560-8442 Ph: (984) 215-4110 | Katherine A Averill, MD 200 Hospital Ave, Jefferson, NC 28640-9244 Ph: (336) 846-7433 |
Dr. Michael Avery Kepley, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Ave, Jefferson, NC 28640 Phone: 336-846-0821 | |
Miss Ethelin Camille Cammock, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 200 Hospital Ave, Jefferson, NC 28640 Phone: 336-846-7101 |