Carolina East Family Medicine | |
3282 Charles Blvd Greenville NC 27858-8875 | |
(252) 756-3713 | |
(252) 756-5920 |
Full Name | Carolina East Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 3282 Charles Blvd, Greenville, North Carolina |
Authorized Official Name and Position | Charles Jahrsdordfer (MEDICAL DOCTOR) |
Authorized Official Contact | 2527563713 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carolina East Family Medicine 3282 Charles Blvd Greenville NC 27858-8875 Ph: (252) 756-3713 | Carolina East Family Medicine 3282 Charles Blvd Greenville NC 27858-8875 Ph: (252) 756-3713 |
NPI Number | 1942252341 |
---|---|
Provider Enumeration Date | 05/16/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6204885114 |
---|---|
Medicare Enrollment ID | O20050118000919 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942252341 | NPI | - | NPPES |
89016RK | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Charles E Jahrsdorfer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497723811 PECOS PAC ID: 5092772327 Enrollment ID: I20041217000384 |
Provider Name | Cinthia D Pineda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770829277 PECOS PAC ID: 1658510383 Enrollment ID: I20130610000462 |
Provider Name | Amanda Tucker Gay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457855405 PECOS PAC ID: 9830446855 Enrollment ID: I20180723002260 |
Carolina Digestive Diseases, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 704 W H Smith Blvd, Greenville, NC 27834 Phone: 252-758-8181 Fax: 252-758-8182 | |
Gastroenterology East Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Hemby Lane, Greenville, NC 27834 Phone: 252-551-3000 | |
Vecu Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-8461 |