| Eden Internal Medicine Pllc | |
|
405 Thompson St Eden NC 27288-5045 | |
| (336) 627-4896 | |
| (336) 627-0139 |
| Full Name | Eden Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 405 Thompson St, Eden, North Carolina |
| Authorized Official Name and Position | Joyce C Wine (OFFICE MANAGER) |
| Authorized Official Contact | 3366274896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Internal Medicine Pllc 405 Thompson St Eden NC 27288-5045 Ph: (336) 627-4896 | Eden Internal Medicine Pllc 405 Thompson St Eden NC 27288-5045 Ph: (336) 627-4896 |
| NPI Number | 1730288895 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4183703945 |
|---|---|
| Medicare Enrollment ID | O20080505000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730288895 | NPI | - | NPPES |
| 7901564 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (North Carolina) | Primary |
| Provider Name | Keavie C Hairfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023079043 PECOS PAC ID: 7012967771 Enrollment ID: I20090821000365 |
| Provider Name | Dhruv Bhupendraprasad Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437257706 PECOS PAC ID: 5991884751 Enrollment ID: I20100809000496 |
| Provider Name | Ashish C Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730287020 PECOS PAC ID: 1456430214 Enrollment ID: I20100809000530 |
| Provider Name | Mackenzie Brynn Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821641002 PECOS PAC ID: 1254722671 Enrollment ID: I20211220000822 |
| Provider Name | Taylor Beth Woodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619522414 PECOS PAC ID: 6800288135 Enrollment ID: I20220119001677 |
Morehead Wound Healing Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 S Pierce St, Eden, NC 27288 Phone: 336-627-0295 Fax: 336-627-0665 | |
James Austin Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 S Van Buren Rd, Suite 1, Eden, NC 27288 Phone: 336-623-7711 Fax: 336-623-7713 | |
Enrich Cosmetic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 B Thompson St, Eden, NC 27288 Phone: 336-627-7546 Fax: 336-635-2263 | |
Morehead Digestive Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Thompson St, Suite C, Eden, NC 27288 Phone: 336-623-9711 | |
James Austin Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 W Kings Hwy, Eden, NC 27288 Phone: 363-864-2795 Fax: 363-694-7511 | |
Dayspring Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 723 S Van Buren Rd Ste B, Eden, NC 27288 Phone: 336-623-5171 Fax: 336-627-5747 | |
Physical Therapy And Hand Specialist, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 257 W Kings Hwy, Eden, NC 27288 Phone: 336-627-4263 Fax: 336-627-4266 |