Elma F Callis, | |
288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | |
(828) 286-5508 | |
Not Available |
Full Name | Elma F Callis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 288 S Ridgecrest Ave, Rutherfordton, 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 |
---|---|---|---|
1093048522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5004478 (North Carolina) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Entity Name | Rutherford Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841593647 PECOS PAC ID: 2961681184 Enrollment ID: O20110120000395 |
Entity Name | Wake Forest Emergency Providers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
Mailing Address | Practice Location Address |
---|---|
Elma F Callis, Po Box 75358, Charlotte, NC 28275-0358 Ph: (843) 237-3378 | Elma F Callis, 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 Ph: (828) 286-5508 |
Tabitha Leclaire Tate, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 446 Nc 108 Hwy, Rutherfordton, NC 28139 Phone: 828-287-7383 | |
Andrea Jutte, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 288 S Ridgecrest Ave, Rutherfordton, NC 28139 Phone: 828-286-5000 | |
Christopher Keith Parris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 288 S Ridgecrest Ave, Rutherfordton, NC 28139 Phone: 843-237-3378 Fax: 843-237-5073 | |
Todd L Gilliam, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 288 S Ridgecrest Ave, Rutherfordton, NC 28139 Phone: 828-286-5000 | |
Mrs. Jennifer Suggs Robbins, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 288 S Ridgecrest Ave, Rutherfordton, NC 28139 Phone: 828-286-5000 | |
Emily Jordan Baldwin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 446 Nc 108 Hwy, Rutherfordton, NC 28139 Phone: 980-487-2570 |