| Ibis Health Services - North Carolina, Pllc | |
|
176 Mine Lake Ct Ste 100 Raleigh NC 27615-6417 | |
| (908) 230-4612 | |
| (207) 401-2727 |
| Full Name | Ibis Health Services - North Carolina, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 176 Mine Lake Ct Ste 100, Raleigh, North Carolina |
| Authorized Official Name and Position | Piali De (CEO OF MSO (SENSCIO SYSTEMS)) |
| Authorized Official Contact | 6178342853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibis Health Services - North Carolina, Pllc 215 Ayer Rd Unit 797 Harvard MA 01451-5033 Ph: (978) 635-9090 | Ibis Health Services - North Carolina, Pllc 176 Mine Lake Ct Ste 100 Raleigh NC 27615-6417 Ph: (908) 230-4612 |
| NPI Number | 1265216873 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 0446695530 |
|---|---|
| Medicare Enrollment ID | O20240228002993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265216873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hannah Jane Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629404769 PECOS PAC ID: 6406084359 Enrollment ID: I20140122001734 |
| Provider Name | Karthik Ravindran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992025712 PECOS PAC ID: 2062656416 Enrollment ID: I20240322002751 |
| Provider Name | Amy Gage Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467726232 PECOS PAC ID: 7113180670 Enrollment ID: I20240419001180 |
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