Judith Prairie, MD | |
653 Bluefield Road, Ste F, Mooresville, NC 28117 | |
(704) 360-6480 | |
(704) 883-3228 |
Full Name | Judith Prairie |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 7 Years |
Location | 653 Bluefield Road, Ste F, 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 |
---|---|---|---|
1407352255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2021-00708 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Iredell Memorial Hospital Inc | Statesville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iredell Physician Network Llc | 0749345007 | 66 |
Entity Name | Iredell Physician Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811381593 PECOS PAC ID: 0749345007 Enrollment ID: O20090219000651 |
Mailing Address | Practice Location Address |
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Judith Prairie, MD Po Box 896199, Charlotte, NC 28289-6199 Ph: (833) 936-1364 | Judith Prairie, MD 653 Bluefield Road, Ste F, Mooresville, NC 28117 Ph: (704) 360-6480 |
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 |