Ross Alden Lippard, | |
75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467-2498 | |
(910) 579-8363 | |
(910) 579-8306 |
Full Name | Ross Alden Lippard |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 75 Emerson Bay Rd Ste 102, Carolina Shores, 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 |
---|---|---|---|
1366135311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5018121 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5018121 (North Carolina) | Primary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
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Ross Alden Lippard, Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Ross Alden Lippard, 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467-2498 Ph: (910) 579-8363 |
Ms. Natalie Yount, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467 Phone: 910-579-8363 Fax: 910-579-8306 | |
Judith M Heintz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467 Phone: 910-579-8363 Fax: 910-579-8306 | |
Mrs. Barbara Annette Wickham, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467 Phone: 910-579-8363 Fax: 910-579-8306 |