Mary-joyce Beasley Gibson, NP | |
6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287-3884 | |
(704) 489-3094 | |
Not Available |
Full Name | Mary-joyce Beasley Gibson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6060 Piedmont Row Dr S Fl 6, Charlotte, 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 |
---|---|---|---|
1245668938 | NPI | - | NPPES |
1245668938 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5006525 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5006525 (North Carolina) | Primary |
Entity Name | Liberty Healthcare Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629217856 PECOS PAC ID: 4587574355 Enrollment ID: O20090428000566 |
Entity Name | Kenly Medical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518075712 PECOS PAC ID: 2567657448 Enrollment ID: O20101117001110 |
Entity Name | Tryon Medical Partners, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992204549 PECOS PAC ID: 7113277971 Enrollment ID: O20180829002057 |
Mailing Address | Practice Location Address |
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Mary-joyce Beasley Gibson, NP 5960 Fairview Rd Ste 500, Charlotte, NC 28210-3113 Ph: (704) 495-6324 | Mary-joyce Beasley Gibson, NP 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287-3884 Ph: (704) 489-3094 |
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 |