Mrs Lecia Wooten Reardon, NP | |
340 Seminary St, Kenansville, NC 28349-8978 | |
(910) 296-2130 | |
(910) 296-0252 |
Full Name | Mrs Lecia Wooten Reardon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 340 Seminary St, Kenansville, North Carolina |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639226418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 201848 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 201848 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Duplin | 1456341536 | 4 |
Eventus Wholehealth Pllc | 6002169539 | 252 |
Entity Name | Duplin General Hospital Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659564433 PECOS PAC ID: 4587575337 Enrollment ID: O20040127000217 |
Entity Name | County Of Duplin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235198177 PECOS PAC ID: 1456341536 Enrollment ID: O20040512001545 |
Entity Name | Eventus Wholehealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
Entity Name | Eventus Value Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013680503 PECOS PAC ID: 1254736986 Enrollment ID: O20210818003793 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lecia Wooten Reardon, NP 340 Seminary St, Kenansville, NC 28349-8978 Ph: (910) 296-2130 | Mrs Lecia Wooten Reardon, NP 340 Seminary St, Kenansville, NC 28349-8978 Ph: (910) 296-2130 |
John Adam Lanier, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Main St, Kenansville, NC 28349 Phone: 910-296-0941 | |
Felice Noel Carlton, DNP, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 Seminary St, Kenansville, NC 28349 Phone: 910-296-2130 Fax: 910-296-0252 | |
Mrs. Brittany Mobley Rich, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 North Main Street, Kenansville, NC 28349 Phone: 910-296-2790 | |
Mrs. Veronica Frederick Stevens, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Seminary Street, Kenansville, NC 28349 Phone: 910-296-2130 | |
Ruth Dail Cooper, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Seminary St, Kenansville, NC 28349 Phone: 910-296-2130 | |
Mrs. Carie M Brown, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 N Main Street, Suite 2, Kenansville, NC 28349 Phone: 910-335-2360 |