| Blue Ridge Family Physicians, Pllc | |
|
2605 Blue Ridge Rd Suite 300 Raleigh NC 27607-6475 | |
| (919) 787-3448 | |
| (919) 232-0006 |
| Full Name | Blue Ridge Family Physicians, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2605 Blue Ridge Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Kirsten H. Avery (PHYSICIAN) |
| Authorized Official Contact | 9197873448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Family Physicians, Pllc 2605 Blue Ridge Rd Suite 300 Raleigh NC 27607-6475 Ph: (919) 787-3448 | Blue Ridge Family Physicians, Pllc 2605 Blue Ridge Rd Suite 300 Raleigh NC 27607-6475 Ph: (919) 787-3448 |
| NPI Number | 1356433155 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 03/06/2009 |
| Medicare PECOS PAC ID | 9537151345 |
|---|---|
| Medicare Enrollment ID | O20040401000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356433155 | NPI | - | NPPES |
| 89013NA | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 108015 (North Carolina) | Primary |
| Provider Name | Rebecca Rowland Steffens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265512263 PECOS PAC ID: 7719904473 Enrollment ID: I20051101000638 |
| Provider Name | Kirsten H Avery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477633477 PECOS PAC ID: 9335162031 Enrollment ID: I20060109000779 |
| Provider Name | Jeffrey A Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992731947 PECOS PAC ID: 8628961547 Enrollment ID: I20071126000433 |
| Provider Name | Stephanie J Foley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528201779 PECOS PAC ID: 6204086978 Enrollment ID: I20121016000320 |
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