| B&d Integrated Health Services | |
|
249 E Nc Highway 54 Ste 320 Durham NC 27713-2490 | |
| (919) 907-3334 | |
| (919) 907-3335 |
| Full Name | B&d Integrated Health Services |
|---|---|
| Speciality | Family Medicine |
| Location | 249 E Nc Highway 54 Ste 320, Durham, North Carolina |
| Authorized Official Name and Position | Lauren Elizabeth Durant (CEO) |
| Authorized Official Contact | 9199073334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B&d Integrated Health Services 249 E Nc Highway 54 Ste 320 Durham NC 27713-2490 Ph: (919) 907-3334 | B&d Integrated Health Services 249 E Nc Highway 54 Ste 320 Durham NC 27713-2490 Ph: (919) 907-3334 |
| NPI Number | 1215022926 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/01/2024 |
| Certification Date | 09/01/2024 |
| Medicare PECOS PAC ID | 9931253275 |
|---|---|
| Medicare Enrollment ID | O20090820000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215022926 | NPI | - | NPPES |
| 60005646 | Medicaid | NC |
| Provider Name | Jennifer A Hanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235249533 PECOS PAC ID: 8224926951 Enrollment ID: I20040305000332 |
| Provider Name | Pamela Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588655666 PECOS PAC ID: 2163436072 Enrollment ID: I20060131000316 |
| Provider Name | William Thomas Trost |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528025822 PECOS PAC ID: 6002829736 Enrollment ID: I20060726000035 |
| Provider Name | Camille M Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922173640 PECOS PAC ID: 2365344504 Enrollment ID: I20070623000108 |
| Provider Name | Lorraine L Waguespack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689609976 PECOS PAC ID: 2769451954 Enrollment ID: I20071107000756 |
| Provider Name | Haresh Md Tharwani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790869618 PECOS PAC ID: 5496843088 Enrollment ID: I20071115000214 |
| Provider Name | Dionne Dillon Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578755922 PECOS PAC ID: 7113002593 Enrollment ID: I20080310000327 |
| Provider Name | Lauren E Durant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447333695 PECOS PAC ID: 0941354286 Enrollment ID: I20090820000426 |
| Provider Name | Diann D Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356665780 PECOS PAC ID: 3779614037 Enrollment ID: I20100630000365 |
| Provider Name | Sonja Falicia White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962702480 PECOS PAC ID: 2466630744 Enrollment ID: I20110711000518 |
| Provider Name | Allison H Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760583090 PECOS PAC ID: 6002070307 Enrollment ID: I20120618000717 |
| Provider Name | Lance R Fuller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720272073 PECOS PAC ID: 6709192016 Enrollment ID: I20150901003137 |
| Provider Name | Samonia D Lay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487995296 PECOS PAC ID: 9830494111 Enrollment ID: I20160224001537 |
| Provider Name | Christina M Grandstaff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265868038 PECOS PAC ID: 9537464573 Enrollment ID: I20160229001880 |
| Provider Name | Vincent Izediuno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396078549 PECOS PAC ID: 6103083647 Enrollment ID: I20161214001439 |
| Provider Name | Clifford Harold Schilke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063524510 PECOS PAC ID: 4082668165 Enrollment ID: I20170131001782 |
| Provider Name | Erin Elise Johnson Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285914408 PECOS PAC ID: 9830464114 Enrollment ID: I20171012002164 |
| Provider Name | Jessica O'neill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659653905 PECOS PAC ID: 7517232770 Enrollment ID: I20171013002855 |
| Provider Name | Tamara Litquinnie Mangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770094179 PECOS PAC ID: 7618234493 Enrollment ID: I20171204000946 |
| Provider Name | Theresa Marie Scarborough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730520560 PECOS PAC ID: 7618235755 Enrollment ID: I20171219003536 |
| Provider Name | Diana E Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992257232 PECOS PAC ID: 1658651906 Enrollment ID: I20180418000364 |
| Provider Name | Elzona Mae Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063843340 PECOS PAC ID: 8325381395 Enrollment ID: I20190514001597 |
| Provider Name | Denise Michel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700076627 PECOS PAC ID: 6305985516 Enrollment ID: I20190917001752 |
| Provider Name | Kavithamani Mallan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891257903 PECOS PAC ID: 1658602404 Enrollment ID: I20191009003209 |
| Provider Name | Glory S Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891393856 PECOS PAC ID: 7618389511 Enrollment ID: I20201217002776 |
| Provider Name | Aliedjawon B Peoples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134636046 PECOS PAC ID: 4183016371 Enrollment ID: I20220120001389 |
| Provider Name | Alexis J Mccoy-cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184266835 PECOS PAC ID: 8325430531 Enrollment ID: I20220120002085 |
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