Katherine Perez, AG-ACNP | |
1001 Blythe Blvd, Suite 300 - Adult Cardiology, Charlotte, NC 28203-5866 | |
(704) 373-0212 | |
(704) 373-1216 |
Full Name | Katherine Perez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1001 Blythe Blvd, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073060851 | NPI | - | NPPES |
NP4166 | Medicaid | SC | |
1073060851 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 5008896 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5008896 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mary Washington Hospital | Fredericksburg, VA | Hospital |
Stafford Hospital, Llc | Stafford, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mary Washington Healthcare Physicians | 2769546530 | 296 |
Oracle Heart And Vascular Inc | 5890926075 | 14 |
Entity Name | Mary Washington Healthcare Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298 |
Entity Name | Oracle Heart & Vascular Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972924520 PECOS PAC ID: 5890926075 Enrollment ID: O20140401002287 |
Mailing Address | Practice Location Address |
---|---|
Katherine Perez, AG-ACNP Po Box 601067, Charlotte, NC 28260-1067 Ph: (704) 373-0212 | Katherine Perez, AG-ACNP 1001 Blythe Blvd, Suite 300 - Adult Cardiology, Charlotte, NC 28203-5866 Ph: (704) 373-0212 |
Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857 | |
Mrs. Adrienne Dunlap Lane, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4109 | |
Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850 | |
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200 | |
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810 | |
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353 | |
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 |