Mary Ellen Prevost, NP | |
1511 Westover Ter, Suite 201, Greensboro, NC 27408-7128 | |
(336) 373-0611 | |
Not Available |
Full Name | Mary Ellen Prevost |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1511 Westover Ter, Greensboro, 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 |
---|---|---|---|
1306975974 | NPI | - | NPPES |
ZF0000184 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 153275 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 0050-00029 (North Carolina) | Primary |
Entity Name | Greensboro Medical Associates, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336102078 PECOS PAC ID: 6406751460 Enrollment ID: O20031203000326 |
Mailing Address | Practice Location Address |
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Mary Ellen Prevost, NP 1511 Westover Ter, Suite 201, Greensboro, NC 27408-7128 Ph: (336) 373-0611 | Mary Ellen Prevost, NP 1511 Westover Ter, Suite 201, Greensboro, NC 27408-7128 Ph: (336) 373-0611 |
Spenser Robert Beasley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Wendover Ave Ste 311, Greensboro, NC 27401 Phone: 336-272-6161 | |
Mrs. Natalie Metts Stroud, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1002 N Church St Ste 201, Greensboro, NC 27401 Phone: 336-378-0713 | |
Lindsi Ahearn, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Pisgah Church Rd, Greensboro, NC 27455 Phone: 336-716-9150 | |
Mr. Brian Anthony White, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410 Phone: 336-292-1510 | |
Mrs. Mariam Mangu Nantang, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 603 Dolley Madison Rd Ste 100, Greensboro, NC 27410 Phone: 336-632-3505 | |
Leni Abraham Daniel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 N Elm St, Greensboro, NC 27455 Phone: 919-949-0731 | |
Mrs. Dinah Chebotip Ngetich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1309 N Elm St, Greensboro, NC 27401 Phone: 336-544-5400 |