Mrs Renae Michelle Walton, FNP | |
1213 W Morehead St Fl 5, Charlotte, NC 28208-5576 | |
(980) 780-2307 | |
(980) 780-2308 |
Full Name | Mrs Renae Michelle Walton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 1213 W Morehead St Fl 5, 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 |
---|---|---|---|
1639378706 | NPI | - | NPPES |
2593282 | Other | NC | MEDICARE INDIVIDUAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5004002 (North Carolina) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 50042 (North Carolina) | Primary |
Entity Name | Amity Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003301300 PECOS PAC ID: 7618205980 Enrollment ID: O20190823002238 |
Entity Name | North Carolina Medical Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386315281 PECOS PAC ID: 0042618357 Enrollment ID: O20211016000058 |
Entity Name | Bliss Home Based Primary Medical Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699428607 PECOS PAC ID: 7012399579 Enrollment ID: O20220729002141 |
Mailing Address | Practice Location Address |
---|---|
Mrs Renae Michelle Walton, FNP 1213 W Morehead St Fl 5, Charlotte, NC 28208-5576 Ph: (980) 780-2307 | Mrs Renae Michelle Walton, FNP 1213 W Morehead St Fl 5, Charlotte, NC 28208-5576 Ph: (980) 780-2307 |
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 |