| Yelvertons Enrichment Services Inc | |
|
4805 Green Rd Ste 103 Raleigh NC 27616-2848 | |
| (919) 872-6220 | |
| (919) 872-6223 |
| Full Name | Yelvertons Enrichment Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4805 Green Rd Ste 103, Raleigh, North Carolina |
| Authorized Official Name and Position | Vickie Smith Yelverton (CEO) |
| Authorized Official Contact | 9198726220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yelvertons Enrichment Services Inc 4805 Green Rd Ste 103 Raleigh NC 27616-2848 Ph: (919) 872-6220 | Yelvertons Enrichment Services Inc 4805 Green Rd Ste 103 Raleigh NC 27616-2848 Ph: (919) 872-6220 |
| NPI Number | 1720136930 |
|---|---|
| Provider Enumeration Date | 01/07/2007 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Medicare PECOS PAC ID | 1850539966 |
|---|---|
| Medicare Enrollment ID | O20130531000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720136930 | NPI | - | NPPES |
| 8301452R | Medicaid | NC | |
| 8303285V | Medicaid | NC | |
| 3418215 | Medicaid | NC | |
| 6008081 | Medicaid | NC | |
| 7805980 | Medicaid | NC | |
| 8303033V | Medicaid | NC | |
| 8303291H | Medicaid | NC | |
| 8301452B | Medicaid | NC | |
| 5914358 | Medicaid | NC | |
| 8303033 | Medicaid | NC | |
| 8303033H | Medicaid | NC | |
| 8303285H | Medicaid | NC | |
| 8301452 | Medicaid | NC | |
| 8301452S | Medicaid | NC | |
| 8301452V | Medicaid | NC | |
| 8303285 | Medicaid | NC | |
| 8303291 | Medicaid | NC | |
| 6604382 | Medicaid | NC | |
| 8301452H | Medicaid | NC |
| Provider Name | Tommel D Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467789776 PECOS PAC ID: 6002060670 Enrollment ID: I20130207000044 |
| Provider Name | Erin Eves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720361751 PECOS PAC ID: 6709007719 Enrollment ID: I20141016000465 |
| Provider Name | Benjamin A Jeffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699197426 PECOS PAC ID: 0244552230 Enrollment ID: I20141202001120 |
| Provider Name | Veronica S Mcphatter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578812251 PECOS PAC ID: 8123330321 Enrollment ID: I20150630003108 |
| Provider Name | Lance R Fuller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720272073 PECOS PAC ID: 6709192016 Enrollment ID: I20150901003137 |
| Provider Name | Ashley G Clocher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891121372 PECOS PAC ID: 3173833902 Enrollment ID: I20151107000128 |
| Provider Name | Evan R Maas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104279421 PECOS PAC ID: 1850636226 Enrollment ID: I20181213001704 |
| Provider Name | Seadra T Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508319724 PECOS PAC ID: 0042542375 Enrollment ID: I20191105003214 |
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