Brynn Marr Hospital Inc | |
192 Village Dr Jacksonville NC 28546-7238 | |
(910) 577-1400 | |
Not Available |
Full Name | Brynn Marr Hospital Inc |
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Speciality | Psychiatry & Neurology |
Location | 192 Village Dr, Jacksonville, North Carolina |
Authorized Official Name and Position | Steve Filton (VICE PRESIDENT) |
Authorized Official Contact | 6107683482 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brynn Marr Hospital Inc 192 Village Dr Jacksonville NC 28546-7238 Ph: (910) 577-1400 | Brynn Marr Hospital Inc 192 Village Dr Jacksonville NC 28546-7238 Ph: (910) 577-1400 |
NPI Number | 1568225845 |
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Provider Enumeration Date | 01/31/2024 |
Last Update Date | 01/31/2024 |
Certification Date | 01/31/2024 |
Medicare PECOS PAC ID | 7113836958 |
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Medicare Enrollment ID | O20040415001176 |
Identifier | Type | State | Issuer |
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1568225845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Durga Bestha |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164622312 PECOS PAC ID: 8123296530 Enrollment ID: I20110729000014 |
Provider Name | Jewel M Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972875755 PECOS PAC ID: 6002077831 Enrollment ID: I20120420000681 |
Provider Name | Martha M Evans |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003841750 PECOS PAC ID: 1557689403 Enrollment ID: I20150406001436 |
Provider Name | Andrew Venters Owens |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194168161 PECOS PAC ID: 5496051898 Enrollment ID: I20171204001857 |
Provider Name | John B Bocock |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548680945 PECOS PAC ID: 4385952225 Enrollment ID: I20201203002423 |
Provider Name | Tuvia Breuer |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467665703 PECOS PAC ID: 6305962838 Enrollment ID: I20230905000447 |
Provider Name | Tenishia Santiago |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497254932 PECOS PAC ID: 7113277369 Enrollment ID: I20240205001817 |
Provider Name | Rebecca Blackwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326607839 PECOS PAC ID: 9638506553 Enrollment ID: I20240325002334 |
Provider Name | Janet Oladipo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053073114 PECOS PAC ID: 9032505177 Enrollment ID: I20240403000563 |
Provider Name | Chastity Stephens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588299291 PECOS PAC ID: 2961832878 Enrollment ID: I20240425003858 |
Provider Name | Joshua J Warren |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528227063 PECOS PAC ID: 3274690847 Enrollment ID: I20240510000339 |
Provider Name | Denise Schubert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578197018 PECOS PAC ID: 2163845793 Enrollment ID: I20240520003956 |
Provider Name | Shannon N Turner-anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548867559 PECOS PAC ID: 4880069475 Enrollment ID: I20240709004915 |
Provider Name | Ilona Moroz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306358924 PECOS PAC ID: 8426310335 Enrollment ID: I20240710000387 |
Provider Name | Geneva Chastanet-severin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841476363 PECOS PAC ID: 1456615749 Enrollment ID: I20240716000236 |
Provider Name | Jessica Dawn Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366156333 PECOS PAC ID: 0244777282 Enrollment ID: I20240807004176 |
Provider Name | Jasmine Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851989214 PECOS PAC ID: 5597110973 Enrollment ID: I20240827004790 |
Provider Name | Chantelle Peterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336655828 PECOS PAC ID: 9830451152 Enrollment ID: I20240828001694 |
Provider Name | Heather R Warren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992202659 PECOS PAC ID: 7719237148 Enrollment ID: I20241007003595 |
Provider Name | Hemanth K Bhimasani |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801995642 PECOS PAC ID: 5193708634 Enrollment ID: I20241024001049 |
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