Crescent Family Practice, P.a. | |
1110 S.e. Cary Parkway Ste 203 Cary NC 27518-7420 | |
(919) 851-7867 | |
(919) 851-7866 |
Full Name | Crescent Family Practice, P.a. |
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Speciality | Family Medicine |
Location | 1110 S.e. Cary Parkway, Cary, North Carolina |
Authorized Official Name and Position | Joseph Walter Bruckert (PRESIDENT) |
Authorized Official Contact | 9198517867 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crescent Family Practice, P.a. 1110 S.e. Cary Parkway Ste 203 Cary NC 27518-7420 Ph: (919) 851-7867 | Crescent Family Practice, P.a. 1110 S.e. Cary Parkway Ste 203 Cary NC 27518-7420 Ph: (919) 851-7867 |
NPI Number | 1629129952 |
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Provider Enumeration Date | 01/15/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4486745650 |
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Medicare Enrollment ID | O20070802000576 |
Identifier | Type | State | Issuer |
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1629129952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 0039359 (North Carolina) | Primary |
Provider Name | Joseph W Bruckert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306993019 PECOS PAC ID: 5092806265 Enrollment ID: I20100730000146 |
Provider Name | Corey W Musselman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497802193 PECOS PAC ID: 9739270901 Enrollment ID: I20100807000061 |
William V. Lorimer, M.d. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 Lipford Dr, Cary, NC 27519 Phone: 919-906-2132 | |
Cary Physicians Primary Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Parkway Office Ct Ste 104, Cary, NC 27518 Phone: 919-230-7439 Fax: 919-912-5442 |