- Medicare Primary Care in Raleigh, NC

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is a medicare enrolled primary clinic (Family Medicine) in Raleigh, North Carolina. The current practice location for is 1100 N Raleigh Blvd, Raleigh, North Carolina. For appointments, you can reach them via phone at (919) 838-2887. The mailing address for is 12900 Park Plaza Dr Ste 150, Cerritos, California and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1659775831. 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 (919) 838-2887.

Contact Information

1100 N Raleigh Blvd
Raleigh
NC 27610-1076
(919) 838-2887
(919) 838-2888

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location1100 N Raleigh Blvd, Raleigh, North Carolina
Authorized Official Name and PositionTimothy Albion (PRESIDENT)
Authorized Official Contact2124764176
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

12900 Park Plaza Dr Ste 150
Cerritos
CA 90703-9329

Ph: () -
1100 N Raleigh Blvd
Raleigh
NC 27610-1076

Ph: (919) 838-2887

NPI Details:

NPI Number1659775831
Provider Enumeration Date10/16/2014
Last Update Date01/03/2025

Medicare PECOS Information:

Medicare PECOS PAC ID4880911247
Medicare Enrollment IDO20150323002248

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659775831NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
207RH0002XInternal Medicine - Hospice And Palliative Medicine (* (Not Available))Secondary

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 NameStephanie L Kirby
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184615817
PECOS PAC ID: 0042407041
Enrollment ID: I20101202001051
Provider NameLana Sue O'neal
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1750320727
PECOS PAC ID: 4688626708
Enrollment ID: I20120314000247
Provider NameSabrina Alicia Mccluskey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114167897
PECOS PAC ID: 2567619851
Enrollment ID: I20120821000726
Provider NameLauren Elizabeth Pippin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518326131
PECOS PAC ID: 1153610381
Enrollment ID: I20160511001997
Provider NameBrandy Hunt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740633668
PECOS PAC ID: 6709136690
Enrollment ID: I20180914000872
Provider NameObuchukwuneme Calais
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457829640
PECOS PAC ID: 3375880495
Enrollment ID: I20210902001083
Provider NameMarie Teresa Romero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790434405
PECOS PAC ID: 6901293000
Enrollment ID: I20220419002741
Provider NameChristeen Leynes Jefferson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770171738
PECOS PAC ID: 3375920465
Enrollment ID: I20220511000020
Provider NameOluremi Cole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598224313
PECOS PAC ID: 9931430923
Enrollment ID: I20220915003649
Provider NameHeather Swanson
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1083695688
PECOS PAC ID: 4486633724
Enrollment ID: I20220929003236
Provider NameSaria Saccocio
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992882468
PECOS PAC ID: 0345213658
Enrollment ID: I20230804002822
Provider NameDanielle Fernald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033622493
PECOS PAC ID: 0648536037
Enrollment ID: I20240503000063
Provider NameDaniel Rosenblatt
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1295078707
PECOS PAC ID: 8224344296
Enrollment ID: I20240614003938

Reviews and Comments


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Medicare: Not Enrolled in Medicare
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Phone: 919-544-9700    Fax: 919-544-9002

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.