| Gericare, Pc | |
|
409 North Estes Drive Chapel Hill NC 27514 | |
| (919) 477-5152 | |
| (919) 477-5474 |
| Full Name | Gericare, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 409 North Estes Drive, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Carol A Henry-smith (OWNER) |
| Authorized Official Contact | 3362933371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gericare, Pc Po Box 15133 Durham NC 27704-0133 Ph: (919) 477-5152 | Gericare, Pc 409 North Estes Drive Chapel Hill NC 27514 Ph: (919) 477-5152 |
| NPI Number | 1881877959 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 01/28/2010 |
| Medicare PECOS PAC ID | 2567545445 |
|---|---|
| Medicare Enrollment ID | O20080215000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881877959 | NPI | - | NPPES |
| P00642196 | Other | NC | MEDICARE RAILROAD |
| DN8487 | Other | NC | MEDICARE RAILROAD |
| 5912836 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 145913 (North Carolina) | Primary |
| Provider Name | Sean Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255349064 PECOS PAC ID: 7012919301 Enrollment ID: I20070215000782 |
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