| Cape Fear Clinic, Inc. | |
|
1605 Doctors Cir Wilmington NC 28401 | |
| (910) 343-8736 | |
| Not Available |
| Full Name | Cape Fear Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1605 Doctors Cir, Wilmington, North Carolina |
| Authorized Official Name and Position | Jennifer A Buxton (DEPUTY DIRECTOR, PHARMACY SERVICES) |
| Authorized Official Contact | 9103438736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Fear Clinic, Inc. 1605 Doctors Cir Wilmington NC 28401 Ph: (910) 343-8736 | Cape Fear Clinic, Inc. 1605 Doctors Cir Wilmington NC 28401 Ph: (910) 343-8736 |
| NPI Number | 1316296635 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 02/09/2024 |
| Medicare PECOS PAC ID | 2961847413 |
|---|---|
| Medicare Enrollment ID | O20240223003948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316296635 | NPI | - | NPPES |
| Provider Name | Caitlin Gallagher Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104382308 PECOS PAC ID: 2163756750 Enrollment ID: I20190702001830 |
| Provider Name | Kenneth Alan Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881890846 PECOS PAC ID: 9032209432 Enrollment ID: I20230223000312 |
| Provider Name | Maurice Kent Locklear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770903742 PECOS PAC ID: 4587000278 Enrollment ID: I20240318000012 |
| Provider Name | Jon Martell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033165469 PECOS PAC ID: 0345131231 Enrollment ID: I20240404004174 |
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