| Primary Care Solutions Inc | |
|
5601 Executive Center Dr Ste 200 Charlotte NC 28212-8841 | |
| (704) 537-1022 | |
| (704) 569-0822 |
| Full Name | Primary Care Solutions Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5601 Executive Center Dr Ste 200, Charlotte, North Carolina |
| Authorized Official Name and Position | Marisil Burgos (QA QI DIRECTOR) |
| Authorized Official Contact | 7045371022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Solutions Inc 5601 Executive Center Dr Ste 200 Charlotte NC 28212-8841 Ph: (704) 537-1022 | Primary Care Solutions Inc 5601 Executive Center Dr Ste 200 Charlotte NC 28212-8841 Ph: (704) 537-1022 |
| NPI Number | 1053535369 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Medicare PECOS PAC ID | 5890075741 |
|---|---|
| Medicare Enrollment ID | O20161209001906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053535369 | NPI | - | NPPES |
| 8301186B | Medicaid | NC | |
| 8301186G | Medicaid | NC |
| Provider Name | Pier Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962607390 PECOS PAC ID: 5597982991 Enrollment ID: I20140808000150 |
| Provider Name | Alonda Jeanette Callender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437277662 PECOS PAC ID: 1658705330 Enrollment ID: I20200106002093 |
| Provider Name | Reginald M Gilkesson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467647701 PECOS PAC ID: 3375961048 Enrollment ID: I20200911001380 |
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