Essential Geriatric Care, Pa | |
300 Meadowlands Dr Hillsborough NC 27278-8502 | |
(919) 644-6714 | |
Not Available |
Full Name | Essential Geriatric Care, Pa |
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Speciality | Internal Medicine |
Location | 300 Meadowlands Dr, Hillsborough, North Carolina |
Authorized Official Name and Position | Hong Yu (OWNER) |
Authorized Official Contact | 9192601002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Essential Geriatric Care, Pa 216 Farm Gate Dr Hillsborough NC 27278-7904 Ph: (919) 260-1002 | Essential Geriatric Care, Pa 300 Meadowlands Dr Hillsborough NC 27278-8502 Ph: (919) 644-6714 |
NPI Number | 1912190281 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 02/09/2021 |
Medicare PECOS PAC ID | 4789766510 |
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Medicare Enrollment ID | O20080131000493 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912190281 | NPI | - | NPPES |
DN8290 | Other | NC | MEDICARE RAILROAD |
5907345 | Medicaid | NC | |
1467674465 | Other | NC | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 2006-01726 (North Carolina) | Primary |
Provider Name | Michael J Godard |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1851354229 PECOS PAC ID: 5799783999 Enrollment ID: I20061127000033 |
Provider Name | Andrea G Blevins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174601017 PECOS PAC ID: 3072610849 Enrollment ID: I20070514000423 |
Provider Name | Hong Yu |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1467674465 PECOS PAC ID: 1850485780 Enrollment ID: I20070921000621 |
Provider Name | Christin Z Gusler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528293610 PECOS PAC ID: 9739224858 Enrollment ID: I20100301000547 |
Provider Name | Beena Jacob |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568930113 PECOS PAC ID: 8921347394 Enrollment ID: I20190301000109 |
Provider Name | Shoukang Zhu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174178453 PECOS PAC ID: 4587058813 Enrollment ID: I20220302000278 |
Provider Name | Rhonda Marie Kern |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295450989 PECOS PAC ID: 3072981174 Enrollment ID: I20221121003247 |
Family Centered Healthcare, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Millstone Drive, Hillsborough, NC 27278 Phone: 919-245-3247 Fax: 919-732-3864 |