| Mrs Mary Deakle, PA-C | |
|
6301 Stadium Dr, Clemmons, NC 27012-8766 | |
| (336) 766-6473 | |
| (336) 766-8909 |
| Full Name | Mrs Mary Deakle |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 6301 Stadium Dr, Clemmons, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992762538 | NPI | - | NPPES |
| P00654536 | Other | NC | RAILROAD MEDICARE |
| 8101680 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 100874 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 100874 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Deakle, PA-C Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 766-6473 | Mrs Mary Deakle, PA-C 6301 Stadium Dr, Clemmons, NC 27012-8766 Ph: (336) 766-6473 |
Carrie Hall Merritt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Stadium Oaks Dr, Clemmons, NC 27012 Phone: 336-766-0547 Fax: 366-766-0549 | |
Caroline W Mackellar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2311 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-713-0400 | |
Mrs. Jennifer Niland Kerley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7130 Village Medical Cir, Clemmons, NC 27012 Phone: 336-893-2420 Fax: 336-893-2431 | |
James A Mccaffrey, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2311 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-716-2255 | |
Allie Stugart Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6301 Stadium Dr, Clemmons, NC 27012 Phone: 336-766-6473 Fax: 336-766-8909 | |
Alexandra Jane Talbert, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5175 Old Clemmons School Rd, Clemmons, NC 27012 Phone: 336-718-3960 | |
Rebecca Faith Myers, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4136 Clemmons Rd, Clemmons, NC 27012 Phone: 336-893-3270 |