| Carrboro Family Medicine Center, Pa | |
|
610 Jones Ferry Rd Ste 102 Carrboro NC 27510-6113 | |
| (919) 929-1747 | |
| (919) 933-5168 |
| Full Name | Carrboro Family Medicine Center, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 610 Jones Ferry Rd, Carrboro, North Carolina |
| Authorized Official Name and Position | Ruth Ann Bullock (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 9199291747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrboro Family Medicine Center, Pa 610 Jones Ferry Rd Ste 102 Carrboro NC 27510-6113 Ph: (919) 929-1747 | Carrboro Family Medicine Center, Pa 610 Jones Ferry Rd Ste 102 Carrboro NC 27510-6113 Ph: (919) 929-1747 |
| NPI Number | 1972719698 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 9133169535 |
|---|---|
| Medicare Enrollment ID | O20050505000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972719698 | NPI | - | NPPES |
| 1972719698 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ariana Pancaldo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235286733 PECOS PAC ID: 0749323186 Enrollment ID: I20100206000224 |
| Provider Name | Kristin Timpy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396299939 PECOS PAC ID: 2466737473 Enrollment ID: I20170314000003 |
| Provider Name | Kathleen M Shapely-quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326109299 PECOS PAC ID: 3375882541 Enrollment ID: I20190305003418 |
| Provider Name | Stephen Vogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104205087 PECOS PAC ID: 5193034221 Enrollment ID: I20191010000145 |
Piedmont Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Lloyd St, Carrboro, NC 27510 Phone: 919-942-8741 Fax: 919-942-1473 | |
Carrboro Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Jones Ferry Rd, Ste 102, Carrboro, NC 27510 Phone: 919-929-1747 Fax: 919-929-4862 | |
Carrboro Pediatrics And Internal Medicine, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Fidelity St, Carrboro, NC 27510 Phone: 919-933-8381 Fax: 919-933-6623 | |
Ifc Community Health Center - Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 299 Lloyd St, Carrboro, NC 27510 Phone: 919-933-8494 | |
Carrboro Chc Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Lloyd St, Carrboro, NC 27510 Phone: 919-942-8741 | |
Carrboro Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Lloyd St, Carrboro, NC 27510 Phone: 919-942-8741 Fax: 919-942-1473 | |
Carrboro Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Jones Ferry Rd Ste 102, Carrboro, NC 27510 Phone: 919-929-1747 Fax: 919-929-4862 |