| Hometown Medical Pllc | |
|
130 Pine State St Suite C Lillington NC 27546 | |
| (910) 474-0050 | |
| (863) 228-8484 |
| Full Name | Hometown Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 130 Pine State St, Lillington, North Carolina |
| Authorized Official Name and Position | Monique I. Torres (OWNER/PA-C) |
| Authorized Official Contact | 9104740050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Medical Pllc 130 Pine State St Suite C Lillington NC 27546 Ph: (910) 474-0050 | Hometown Medical Pllc 130 Pine State St Suite C Lillington NC 27546 Ph: (910) 474-0050 |
| NPI Number | 1639777378 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 03/05/2021 |
| Medicare PECOS PAC ID | 1850704909 |
|---|---|
| Medicare Enrollment ID | O20210108001385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639777378 | NPI | - | NPPES |
| 1922562834 | Other | NC | TRICARE |
| 1922562834 | Other | NC | BCBS |
| 1922562834 | Medicaid | NC | |
| 1922562834 | Other | NC | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcelo R Perez-montes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386647576 PECOS PAC ID: 1153360094 Enrollment ID: I20050504000481 |
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