Judith Yen Lin Colclough, MD | |
6905 Knightdale Blvd Ste 106, Knightdale, NC 27545-6506 | |
(919) 261-8760 | |
(919) 261-8765 |
Full Name | Judith Yen Lin Colclough |
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Gender | Female |
Speciality | Family Medicine |
Location | 6905 Knightdale Blvd Ste 106, Knightdale, 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 |
---|---|---|---|
1700839859 | NPI | - | NPPES |
110080968A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3811 (Alaska) | Secondary |
207Q00000X | Family Medicine | 237887 (Massachusetts) | Secondary |
207Q00000X | Family Medicine | 200401649 (North Carolina) | Primary |
Entity Name | Unc Physicians Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
Mailing Address | Practice Location Address |
---|---|
Judith Yen Lin Colclough, MD 2000 Perimeter Park Dr Ste 200, Morrisville, NC 27560-8442 Ph: () - | Judith Yen Lin Colclough, MD 6905 Knightdale Blvd Ste 106, Knightdale, NC 27545-6506 Ph: (919) 261-8760 |
Jeffrey M Keil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6602 Knightdale Blvd Ste 102, Knightdale, NC 27545 Phone: 919-747-5210 | |
Caitlin Marie Higgins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6602 Knightdale Blvd Ste 202, Knightdale, NC 27545 Phone: 919-747-5270 Fax: 919-747-5271 | |
Dr. Robert Stark Adams Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6905 Knightdale Blvd, Ste 106, Knightdale, NC 27545 Phone: 919-261-8760 Fax: 919-261-8765 | |
Michelle Elaine Klawiter-benton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6602 Knightdale Blvd Ste 202, Knightdale, NC 27545 Phone: 919-747-5270 Fax: 919-747-5271 | |
Christian C Lowrie, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6905 Knightdale Blvd Ste 106, Knightdale, NC 27545 Phone: 919-261-8760 Fax: 919-261-8765 | |
Mary Gaffney Conley, M. D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6905 Knightdale Blvd, Knightdale, NC 27545 Phone: 919-261-8760 Fax: 919-261-8765 | |
Dr. Li Zhou, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545 Phone: 919-261-8760 Fax: 919-261-8765 |