Devoted Medical Nc Pc | |
5576 Greenville Hwy Zirconia NC 28790-4000 | |
(866) 849-0692 | |
(888) 973-8821 |
Full Name | Devoted Medical Nc Pc |
---|---|
Speciality | Clinic/Center |
Location | 5576 Greenville Hwy, Zirconia, North Carolina |
Authorized Official Name and Position | Aracely Courtney (PM) |
Authorized Official Contact | 8668490692 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Devoted Medical Nc Pc Po Box 211699 Eagan MN 55121-3699 Ph: (866) 849-0692 | Devoted Medical Nc Pc 5576 Greenville Hwy Zirconia NC 28790-4000 Ph: (866) 849-0692 |
NPI Number | 1295443554 |
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Provider Enumeration Date | 11/07/2022 |
Last Update Date | 01/05/2024 |
Medicare PECOS PAC ID | 1759720014 |
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Medicare Enrollment ID | O20240418004036 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295443554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Kerryann Fogarty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477032332 PECOS PAC ID: 7517201478 Enrollment ID: I20190610000706 |
Provider Name | Paul Di Capua |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295037430 PECOS PAC ID: 5294990420 Enrollment ID: I20200817000401 |
Provider Name | Kim Czerwinski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760959811 PECOS PAC ID: 5193766863 Enrollment ID: I20210819000644 |
Provider Name | Jason Wong |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821052242 PECOS PAC ID: 3375532559 Enrollment ID: I20240418004090 |
Provider Name | Trisha Np Khalilieh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922547439 PECOS PAC ID: 1052695665 Enrollment ID: I20240419000093 |
Provider Name | Kevin Mickle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801360318 PECOS PAC ID: 1052651544 Enrollment ID: I20240419000214 |
Provider Name | Kelly Board |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649719915 PECOS PAC ID: 4789930645 Enrollment ID: I20240419000261 |
Provider Name | Sarah Bible |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699210351 PECOS PAC ID: 6800173832 Enrollment ID: I20240425003025 |
Provider Name | Erin Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932622123 PECOS PAC ID: 1759646276 Enrollment ID: I20240425003236 |
Provider Name | Julie Foster |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639565369 PECOS PAC ID: 0648586099 Enrollment ID: I20240426003162 |
Provider Name | Amy Barton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063713436 PECOS PAC ID: 1850573262 Enrollment ID: I20240430001291 |
Provider Name | Cynthia Eugene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700281805 PECOS PAC ID: 3971871807 Enrollment ID: I20240430002657 |
Provider Name | Brittany Daniels |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033551247 PECOS PAC ID: 2365679693 Enrollment ID: I20240430002840 |
Provider Name | Deborah Nash |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376166298 PECOS PAC ID: 4688088974 Enrollment ID: I20240430003029 |
Provider Name | Lauren Strickland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235740259 PECOS PAC ID: 1254744816 Enrollment ID: I20240502000431 |
Provider Name | Meghna Sheth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942630603 PECOS PAC ID: 0446483101 Enrollment ID: I20240502000846 |
Provider Name | Erin Hopkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467897652 PECOS PAC ID: 8426365438 Enrollment ID: I20240502001585 |
Provider Name | Sylvester Miniea |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497352835 PECOS PAC ID: 5092107144 Enrollment ID: I20240502004147 |
Provider Name | Miranda Caccamise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831539436 PECOS PAC ID: 3476782095 Enrollment ID: I20240503001415 |
Provider Name | Claudia Fages |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730796426 PECOS PAC ID: 2769867381 Enrollment ID: I20240508003752 |
Provider Name | Alec Petersen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013370568 PECOS PAC ID: 1153618186 Enrollment ID: I20240529003658 |
Provider Name | Samuel Collier |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508064114 PECOS PAC ID: 9830229202 Enrollment ID: I20240531000717 |
Provider Name | Robert Glass |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497049571 PECOS PAC ID: 5991922999 Enrollment ID: I20240603000049 |
Provider Name | Brook Calton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528395019 PECOS PAC ID: 6204078231 Enrollment ID: I20240613000169 |