| Americare Health | |
|
721 W Sugar Creek Rd Charlotte NC 28213-6163 | |
| (704) 941-2080 | |
| (704) 941-2085 |
| Full Name | Americare Health |
|---|---|
| Speciality | Pediatrics |
| Location | 721 W Sugar Creek Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Iyore Irene Ojomo (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 7049412080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Americare Health 721 W Sugar Creek Rd Charlotte NC 28213-6163 Ph: (704) 941-2080 | Americare Health 721 W Sugar Creek Rd Charlotte NC 28213-6163 Ph: (704) 941-2080 |
| NPI Number | 1528071446 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284658840 |
|---|---|
| Medicare Enrollment ID | O20060123000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528071446 | NPI | - | NPPES |
| 017KT | Other | NC | BLUECROSSBLUESHIELD ID# |
| 5902388 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
| 207R00000X | Internal Medicine | (North Carolina) | Primary |
| 208000000X | Pediatrics | (North Carolina) | Primary |
| Provider Name | Emmanuel O Edosomwan-eigbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336397306 PECOS PAC ID: 4385774033 Enrollment ID: I20110913000703 |
| Provider Name | April M Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235186545 PECOS PAC ID: 5092051524 Enrollment ID: I20190103003323 |
| Provider Name | Avitus M Itoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669952495 PECOS PAC ID: 4688902034 Enrollment ID: I20190822001680 |
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