| City Of Oaks Wellness | |
|
1004 Dresser Ct Ste 102 Raleigh NC 27609-7325 | |
| (919) 266-0175 | |
| (833) 450-4826 |
| Full Name | City Of Oaks Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 1004 Dresser Ct Ste 102, Raleigh, North Carolina |
| Authorized Official Name and Position | Wanett T Mims (OWNER) |
| Authorized Official Contact | 9196078782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Oaks Wellness Po Box 10492 Raleigh NC 27605-0492 Ph: (919) 654-7309 | City Of Oaks Wellness 1004 Dresser Ct Ste 102 Raleigh NC 27609-7325 Ph: (919) 266-0175 |
| NPI Number | 1861160038 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 07/24/2024 |
| Medicare PECOS PAC ID | 8820486970 |
|---|---|
| Medicare Enrollment ID | O20211022001679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861160038 | NPI | - | NPPES |
| Provider Name | Katherine E Barrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275500779 PECOS PAC ID: 7416080262 Enrollment ID: I20100730000927 |
| Provider Name | Kara A Mcelligott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417115437 PECOS PAC ID: 2264689553 Enrollment ID: I20120821000648 |
| Provider Name | Cassandra Kendrick Elder |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356869465 PECOS PAC ID: 1759647597 Enrollment ID: I20171109003278 |
| Provider Name | Kathryn Anne Wood Calvillo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265590426 PECOS PAC ID: 9537169776 Enrollment ID: I20190128000002 |
| Provider Name | Michael Jerome Fitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366462889 PECOS PAC ID: 8426114844 Enrollment ID: I20210719002235 |
| Provider Name | Vanessa Lynn Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912782723 PECOS PAC ID: 7618321878 Enrollment ID: I20230922000359 |
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