Dba - Columbia Medical Center is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Columbia, North Carolina. The current practice location for Dba - Columbia Medical Center is 208 North Broad Street, Columbia, North Carolina. For appointments, you can reach them via phone at
(252) 796-0689. The mailing address for Dba - Columbia Medical Center is 208 North Broad St, Columbia, North Carolina and phone number is (252) 796-0689.
Dba - Columbia Medical Center is licensed to practice in North Carolina (license number ). The clinic also participates in the medicare program and its
NPI number is 1477583102. 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
(252) 796-0689.
Primary Care Clinic Profile
| Full Name | Dba - Columbia Medical Center |
|---|
| Speciality | Clinic/Center |
|---|
| Location | 208 North Broad Street, Columbia, North Carolina |
|---|
| Authorized Official Name and Position | Irene Leibensperger-cavall (MEDICAL DIRECTOR) |
|---|
| Authorized Official Contact | 2527960689 |
|---|
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dba - Columbia Medical Center
208 North Broad St
Columbia
NC 27925-9705
Ph: (252) 796-0689 | Dba - Columbia Medical Center
208 North Broad Street
Columbia
NC 27925
Ph: (252) 796-0689 |
NPI Details:
| NPI Number | 1477583102 |
|---|
| Provider Enumeration Date | 07/05/2006 |
|---|
| Last Update Date | 07/16/2018 |
|---|
Medicare PECOS Information:
| Medicare PECOS PAC ID | 7911960257 |
|---|
| Medicare Enrollment ID | O20041108001233 |
|---|
Medical Identifiers
Medical identifiers for Dba - Columbia Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477583102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QR1300X | Clinic/center - Rural Health | (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dba - Columbia Medical Center acts as a billing entity for following providers:
| Provider Name | Irene Liebensperger-cavall |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1407942196
PECOS PAC ID: 6608830161
Enrollment ID: I20041115000604 |
|---|
Reviews and Comments