| Integrated Wound Care North Carolina Pllc | |
|
115 N Country Club Rd Brevard NC 28712-8990 | |
| (732) 451-4318 | |
| Not Available |
| Full Name | Integrated Wound Care North Carolina Pllc |
|---|---|
| Speciality | General Practice |
| Location | 115 N Country Club Rd, Brevard, North Carolina |
| Authorized Official Name and Position | Diane Lusas (PRESIDENT) |
| Authorized Official Contact | 7324514318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wound Care North Carolina Pllc 492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: () - | Integrated Wound Care North Carolina Pllc 115 N Country Club Rd Brevard NC 28712-8990 Ph: (732) 451-4318 |
| NPI Number | 1942865316 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 05/01/2019 |
| Medicare PECOS PAC ID | 5193058873 |
|---|---|
| Medicare Enrollment ID | O20190612000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942865316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ian Kim |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366594293 PECOS PAC ID: 5092629709 Enrollment ID: I20031119000655 |
| Provider Name | Catherine S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730172818 PECOS PAC ID: 8527020296 Enrollment ID: I20041103001321 |
| Provider Name | Wendy R England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255683405 PECOS PAC ID: 9436309275 Enrollment ID: I20121101000222 |
| Provider Name | Victoria G Garriett-lampkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104908409 PECOS PAC ID: 7113172800 Enrollment ID: I20130304000000 |
| Provider Name | Evanna C Burkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255504742 PECOS PAC ID: 0648415455 Enrollment ID: I20130327000519 |
| Provider Name | Ray Anthony Mercado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275606030 PECOS PAC ID: 6305960337 Enrollment ID: I20170705001270 |
| Provider Name | Heidi C Bickford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225553506 PECOS PAC ID: 6103184502 Enrollment ID: I20171212002393 |
| Provider Name | Julia A Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700130580 PECOS PAC ID: 8325291651 Enrollment ID: I20180320002475 |
| Provider Name | Kindra J Littman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437678836 PECOS PAC ID: 7719241637 Enrollment ID: I20180501001099 |
| Provider Name | Rita Nkem Agunobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205374865 PECOS PAC ID: 6608131602 Enrollment ID: I20180522001698 |
| Provider Name | Lana Eller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497221097 PECOS PAC ID: 0648515098 Enrollment ID: I20181213000979 |
| Provider Name | Molly Mcdonough Leota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245680388 PECOS PAC ID: 7719228626 Enrollment ID: I20190402002239 |
| Provider Name | Ivey Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063932473 PECOS PAC ID: 8729205505 Enrollment ID: I20190508003326 |
| Provider Name | Diane Lusas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20190612001028 |
| Provider Name | Mary Anne Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578125019 PECOS PAC ID: 1153651393 Enrollment ID: I20191001001781 |
| Provider Name | Hien Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124446430 PECOS PAC ID: 6709120793 Enrollment ID: I20191015001458 |
| Provider Name | Jennylle Zanzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265914360 PECOS PAC ID: 2860826856 Enrollment ID: I20191228000301 |
| Provider Name | Greta Crisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386287175 PECOS PAC ID: 5799111357 Enrollment ID: I20200130002093 |
| Provider Name | Dana L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467096008 PECOS PAC ID: 9638508831 Enrollment ID: I20200409002887 |
| Provider Name | Kim Iamurri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457900144 PECOS PAC ID: 6002233269 Enrollment ID: I20200902001346 |
| Provider Name | Alice C Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629693460 PECOS PAC ID: 3476963513 Enrollment ID: I20201102000610 |
| Provider Name | Neijia V Grissom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023518412 PECOS PAC ID: 3375953110 Enrollment ID: I20201105000899 |
| Provider Name | Felicia Monica Tilles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003405267 PECOS PAC ID: 4284040247 Enrollment ID: I20210317001232 |
| Provider Name | Brandon Lloyd Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972763480 PECOS PAC ID: 9032250584 Enrollment ID: I20210412000573 |
| Provider Name | Nicole D Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306481114 PECOS PAC ID: 7719377159 Enrollment ID: I20220413001871 |
| Provider Name | Patrice R Brown-parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548901069 PECOS PAC ID: 4183002769 Enrollment ID: I20220610000535 |
| Provider Name | Laporscha Hardmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073948816 PECOS PAC ID: 9234590746 Enrollment ID: I20230801000741 |
| Provider Name | Elizabeth Revis Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013631647 PECOS PAC ID: 6608222583 Enrollment ID: I20231030000463 |
| Provider Name | Frantz Dorestant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073395968 PECOS PAC ID: 7416396700 Enrollment ID: I20240614004064 |
Pardee Bluemd-1409 Asheville Highway Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1409 Asheville Hwy, Brevard, NC 28712 Phone: 828-435-8400 Fax: 828-435-8401 | |
Brevard College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Brevard College Dr, Brevard, NC 28712 Phone: 972-367-4845 | |
Asheville Cardiology Associates - Brevard Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Medical Park Dr, Suite C, Brevard, NC 28712 Phone: 828-883-2131 Fax: 828-883-4550 | |
Blue Mountain Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 S Caldwell St, Brevard, NC 28712 Phone: 828-883-4040 Fax: 828-883-4060 | |
Brevard Internal Medicine And Pulmonology At Transylvania Regional Hos Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Medical Park Drive, Suite B, Brevard, NC 28712 Phone: 828-885-5709 Fax: 828-885-5766 | |
Pineiro Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 342 S Caldwell St, Brevard, NC 28712 Phone: 828-883-8181 Fax: 828-883-8711 | |
Mission Weight Management Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Dr, Brevard, NC 28712 Phone: 828-213-4100 |