<unavail> in Saint Pauls, NC - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Saint Pauls, North Carolina. The current practice location for is 580 W Mclean St, Saint Pauls, North Carolina. For appointments, you can reach them via phone at (910) 615-3570. The mailing address for is Po Box 40908, Fayetteville, North Carolina and phone number is (910) 615-6448.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1750616108. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (910) 615-3570.

Contact Information


	580 W Mclean St Saint Pauls NC 28384-1421
	(910) 615-3570
	(910) 865-3503

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	580 W Mclean St, Saint Pauls, North Carolina
Authorized Official Name and Position	Joseph B Fiser (VP MANAGED CARE AND REVENUE CYCLE)
Authorized Official Contact	9106155572
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 40908 Fayetteville NC 28309-0908 Ph: (910) 615-6448	580 W Mclean St Saint Pauls NC 28384-1421 Ph: (910) 615-3570

NPI Details:

NPI Number	1750616108
Provider Enumeration Date	10/02/2009
Last Update Date	11/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	2567506942
Medicare Enrollment ID	O20100223000688

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750616108	NPI	-	NPPES
PENDING	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Amita S Shetty
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1548267958 PECOS PAC ID: 4284624750 Enrollment ID: I20040517000155

Provider Name	Tracy E Bullard
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1255334736 PECOS PAC ID: 1456324839 Enrollment ID: I20040813001060

Provider Name	Johnnie L Moultrie
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1609882117 PECOS PAC ID: 7113027848 Enrollment ID: I20070711000229

Reviews and Comments

Family Medicine in Saint Pauls, NC

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Broad St, Saint Pauls, NC 28384 Phone: 910-865-5955 Fax: 910-865-3055
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W Broad St, Saint Pauls, NC 28384 Phone: 910-241-3078
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 128 E Broad St, Saint Pauls, NC 28384 Phone: 910-241-3042 Fax: 910-241-3462
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 E Blue St, Saint Pauls, NC 28384 Phone: 910-865-5177 Fax: 910-865-9400
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Broad St, Saint Pauls, NC 28384 Phone: 910-865-5955 Fax: 910-865-3055
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Broad St, Saint Pauls, NC 28384 Phone: 910-865-5955 Fax: 910-738-3764

- Medicare Primary Care in Saint Pauls, NC