Centerwell Senior Primary Care-university City - Medicare Primary Care in Charlotte, NC

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Centerwell Senior Primary Care-university City is a medicare enrolled primary clinic (Internal Medicine) in Charlotte, North Carolina. The current practice location for Centerwell Senior Primary Care-university City is 8727 Jw Clay Blvd, Charlotte, North Carolina. For appointments, you can reach them via phone at (980) 999-1831. The mailing address for Centerwell Senior Primary Care-university City is 4700 Millenia Blvd Ste 650, Orlando, Florida and phone number is (407) 447-7120.

Centerwell Senior Primary Care-university City is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366181943. 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 (980) 999-1831.

Contact Information

Centerwell Senior Primary Care-university City
8727 Jw Clay Blvd
Charlotte
NC 28262-5417
(980) 999-1831
(877) 536-8312

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care-university City
SpecialityInternal Medicine
Location8727 Jw Clay Blvd, Charlotte, North Carolina
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care-university City
4700 Millenia Blvd Ste 650
Orlando
FL 32839-6013

Ph: (407) 447-7120		Centerwell Senior Primary Care-university City
8727 Jw Clay Blvd
Charlotte
NC 28262-5417

Ph: (980) 999-1831

NPI Details:

NPI Number1366181943
Provider Enumeration Date06/01/2022
Last Update Date01/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0345614384
Medicare Enrollment IDO20230315000375

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care-university City such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366181943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
208D00000XGeneral Practice (* (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. Centerwell Senior Primary Care-university City acts as a billing entity for following providers:
Provider NameJane L Swan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609866532
PECOS PAC ID: 5092733329
Enrollment ID: I20051105000310
Provider NameAmir Z Ansari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477507713
PECOS PAC ID: 0345234282
Enrollment ID: I20070730000327
Provider NameBrian Anthony Walker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619949617
PECOS PAC ID: 7911943881
Enrollment ID: I20080521000676
Provider NameChristel N Keisler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831384189
PECOS PAC ID: 2668524752
Enrollment ID: I20090721000529
Provider NameAhunna N Okwubunka Anyim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023216199
PECOS PAC ID: 5092803866
Enrollment ID: I20130823000458
Provider NameSusanna Marie Shepard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003992058
PECOS PAC ID: 0244479913
Enrollment ID: I20131008000156
Provider NameChristina Xiong Linart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710224332
PECOS PAC ID: 3971744038
Enrollment ID: I20160224001415
Provider NameAyesha T Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992877344
PECOS PAC ID: 9739180787
Enrollment ID: I20161101000428
Provider NameMiesha Kindell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306202742
PECOS PAC ID: 7911201926
Enrollment ID: I20171010003125
Provider NameBrandi Lynn Stone
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326416835
PECOS PAC ID: 5799047379
Enrollment ID: I20180319002050
Provider NameJaicie Nadine Congress
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497242630
PECOS PAC ID: 4082969944
Enrollment ID: I20180618000152
Provider NameKavithamani Mallan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891257903
PECOS PAC ID: 1658602404
Enrollment ID: I20191009003209
Provider NameDamaris Wanjiku Gichuhi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245889625
PECOS PAC ID: 6608201678
Enrollment ID: I20200122000020
Provider NameThomas Parrish
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669823100
PECOS PAC ID: 0749573186
Enrollment ID: I20200808000180
Provider NameJocelyn Alisa Sampson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427524958
PECOS PAC ID: 8921419557
Enrollment ID: I20201202002662
Provider NameLorie Jolly
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043638554
PECOS PAC ID: 2860754868
Enrollment ID: I20210107000154
Provider NameLindsay Patlewicz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841523784
PECOS PAC ID: 2163569187
Enrollment ID: I20210111001211
Provider NameGregory Michael Lavins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912402769
PECOS PAC ID: 0749537025
Enrollment ID: I20210720003489
Provider NameMary Cox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649763632
PECOS PAC ID: 5092068163
Enrollment ID: I20210910002732
Provider NameHeidi S Cammer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467127886
PECOS PAC ID: 7214335942
Enrollment ID: I20211012000290
Provider NameKristin Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912667072
PECOS PAC ID: 6406248558
Enrollment ID: I20220121001421
Provider NameKam Wei Chan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891759510
PECOS PAC ID: 9234328238
Enrollment ID: I20220121001975
Provider NameRobert Hanlin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568410280
PECOS PAC ID: 2264425529
Enrollment ID: I20220124000028
Provider NameMarcella Ann Tabor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184681579
PECOS PAC ID: 0244134013
Enrollment ID: I20220124000122
Provider NameStephanie Phillips
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861460883
PECOS PAC ID: 4284620774
Enrollment ID: I20220125000214
Provider NameAmy Beth Raz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881669315
PECOS PAC ID: 2668645516
Enrollment ID: I20221021001532
Provider NameBrittany Bowling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669042149
PECOS PAC ID: 0648646000
Enrollment ID: I20221026002319
Provider NameKusum Paudel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710608641
PECOS PAC ID: 5698145340
Enrollment ID: I20221221002686
Provider NameRegi Jose Vadassery
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275562035
PECOS PAC ID: 3971975251
Enrollment ID: I20230215000217
Provider NameNana Yaa Serwaa Addai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114539814
PECOS PAC ID: 2163800194
Enrollment ID: I20230504001362
Provider NameJerell Diego Chua
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1962637827
PECOS PAC ID: 7810149721
Enrollment ID: I20231120003313

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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.