Amh-mount Jefferson Family Medicine | |
200 Hospital Ave Suite 3 Jefferson NC 28640-9244 | |
(336) 846-7433 | |
(336) 846-7878 |
Full Name | Amh-mount Jefferson Family Medicine |
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Speciality | Family Medicine |
Location | 200 Hospital Ave, Jefferson, North Carolina |
Authorized Official Name and Position | James Lambert (VP OF COMPLIANCE) |
Authorized Official Contact | 3368460754 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amh-mount Jefferson Family Medicine 200 Hospital Ave Suite 3 Jefferson NC 28640-9244 Ph: (336) 846-7433 | Amh-mount Jefferson Family Medicine 200 Hospital Ave Suite 3 Jefferson NC 28640-9244 Ph: (336) 846-7433 |
NPI Number | 1295193340 |
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Provider Enumeration Date | 02/04/2016 |
Last Update Date | 06/27/2016 |
Medicare PECOS PAC ID | 8729377692 |
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Medicare Enrollment ID | O20160516001931 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295193340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Edward J Miller |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1538194410 PECOS PAC ID: 8123006327 Enrollment ID: I20040713001069 |
Provider Name | Katherine A Averill |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1033158399 PECOS PAC ID: 1951381722 Enrollment ID: I20040722000453 |
Provider Name | Melinda D Wonsick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619907334 PECOS PAC ID: 9537062443 Enrollment ID: I20040825001598 |
Provider Name | Cathy G Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215009758 PECOS PAC ID: 8022117837 Enrollment ID: I20070620000054 |
Provider Name | Ronald W Benfield |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1104884964 PECOS PAC ID: 2961544937 Enrollment ID: I20100128000937 |
Provider Name | Heather Barker Peters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700184348 PECOS PAC ID: 8729261664 Enrollment ID: I20110330000408 |
Provider Name | Suzanne M Paszkowski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275550113 PECOS PAC ID: 7012018088 Enrollment ID: I20130604000654 |
Provider Name | Kathleen G Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487022372 PECOS PAC ID: 0446532022 Enrollment ID: I20181129000811 |
Provider Name | Sharon Patricia Dilley |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033187323 PECOS PAC ID: 7911946033 Enrollment ID: I20190722002354 |
Provider Name | Tara Blalock Burgher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588814131 PECOS PAC ID: 8325355274 Enrollment ID: I20200506000480 |
Provider Name | Amanda Dancy Bundy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063049963 PECOS PAC ID: 6507279858 Enrollment ID: I20210106001859 |
Provider Name | Jessica Shoemake Rupard |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1366024903 PECOS PAC ID: 3274933577 Enrollment ID: I20210608001564 |
Provider Name | Gregory T Lang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487620951 PECOS PAC ID: 9133352719 Enrollment ID: I20220429002040 |
Provider Name | Alicia Crane |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619311461 PECOS PAC ID: 6204075732 Enrollment ID: I20230505002255 |
Provider Name | Donald Huffman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689201691 PECOS PAC ID: 7810312410 Enrollment ID: I20231212001445 |
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