Mr Peter Beck Woglom, PA-C is a
Physician Assistant - Medical based in Windsor, North Carolina. Mr Peter Beck Woglom is licensed to practice in North Carolina (license number 101652) and his current practice location is
218 Cooper Hill Rd, Windsor, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(252) 794-8600.
NPI number for Mr Peter Beck Woglom is 1639251408 and his current mailing address is 1305 Meadow Rd, Colerain, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639251408.
Provider's Profile
| Full Name | Mr Peter Beck Woglom |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 218 Cooper Hill Rd, Windsor, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639251408
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Peter Beck Woglom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639251408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 101652 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Peter Beck Woglom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Peter Beck Woglom, PA-C
1305 Meadow Rd,
Colerain, NC 27924-9014
Ph: () - | Mr Peter Beck Woglom, PA-C
218 Cooper Hill Rd,
Windsor, NC 27983-8501
Ph: (252) 794-8600 |
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