| Family Medical Associates Of Raleigh, Pa | |
|
3500 Bush St Raleigh NC 27609-7509 | |
| (919) 875-8150 | |
| (919) 875-9577 |
| Full Name | Family Medical Associates Of Raleigh, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3500 Bush St, Raleigh, North Carolina |
| Authorized Official Name and Position | Cheryl Proctor (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9198758150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Associates Of Raleigh, Pa 3500 Bush St Raleigh NC 27609-7509 Ph: (919) 875-8150 | Family Medical Associates Of Raleigh, Pa 3500 Bush St Raleigh NC 27609-7509 Ph: (919) 875-8150 |
| NPI Number | 1619099256 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 01/06/2020 |
| Medicare PECOS PAC ID | 7012811656 |
|---|---|
| Medicare Enrollment ID | O20031125000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619099256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Josiah Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255390795 PECOS PAC ID: 1355302746 Enrollment ID: I20100217000755 |
| Provider Name | Jennifer M Jo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063596120 PECOS PAC ID: 8022146398 Enrollment ID: I20100506000439 |
| Provider Name | Joan D Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487672598 PECOS PAC ID: 2769513936 Enrollment ID: I20100702000026 |
| Provider Name | Conrad L Flick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003949595 PECOS PAC ID: 7012962640 Enrollment ID: I20100826000603 |
| Provider Name | Andrew J Drabick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235262718 PECOS PAC ID: 9537063185 Enrollment ID: I20100903000307 |
| Provider Name | Angela M Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952573719 PECOS PAC ID: 9830338466 Enrollment ID: I20130612000000 |
| Provider Name | Cheryl Y Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942324645 PECOS PAC ID: 0749421709 Enrollment ID: I20130802000482 |
| Provider Name | Sarah U Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760867014 PECOS PAC ID: 3274841788 Enrollment ID: I20151002001548 |
| Provider Name | Meryl Ryan Coyle-johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912304890 PECOS PAC ID: 9931418621 Enrollment ID: I20151020001676 |
| Provider Name | Mary Jane Satre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609153758 PECOS PAC ID: 7911171343 Enrollment ID: I20180622001762 |
| Provider Name | Abigail Joseph Lancaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467807271 PECOS PAC ID: 2769719830 Enrollment ID: I20190812004075 |
| Provider Name | John Still |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689203796 PECOS PAC ID: 6901227834 Enrollment ID: I20230818002550 |
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