Dr Mary Lou Church, MD | |
1707 Industrial Dr, Wilkesboro, NC 28697-7345 | |
(336) 667-6363 | |
(336) 667-8066 |
Full Name | Dr Mary Lou Church |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 35 Years |
Location | 1707 Industrial Dr, Wilkesboro, 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 |
---|---|---|---|
1639170749 | NPI | - | NPPES |
65316 | Other | NC | BCBS PROVIDER NUMBER |
8965316 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 39371 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wake Forest Baptist Health Care At Home, Llc | Wilkesboro, NC | Home health agency |
Wilkes Regional Medical Center | North wilkesboro, NC | Hospital |
Entity Name | Mlp Church Md Family Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710215538 PECOS PAC ID: 3577604578 Enrollment ID: O20100113000563 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Lou Church, MD 1707 Industrial Dr, Wilkesboro, NC 28697-7345 Ph: (336) 667-6363 | Dr Mary Lou Church, MD 1707 Industrial Dr, Wilkesboro, NC 28697-7345 Ph: (336) 667-6363 |
Dr. Prakash N Khot, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1216 School St Ste D, Wilkesboro, NC 28697 Phone: 336-838-9990 Fax: 336-838-9995 | |
Dr. Glen Ernest Alford, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1016 Fletcher St, Wilkesboro, NC 28697 Phone: 336-667-8228 Fax: 336-667-2899 |