| Lillington Medical Services, Llc | |
|
7 E Duncan St Lillington NC 27546-4829 | |
| (910) 893-2641 | |
| (910) 893-3208 |
| Full Name | Lillington Medical Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7 E Duncan St, Lillington, North Carolina |
| Authorized Official Name and Position | Joseph Fiser (VP CORP REV CYCLE/MANAGED CARE) |
| Authorized Official Contact | 9106155572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lillington Medical Services, Llc Po Box 1706 Dunn NC 28335-1706 Ph: () - | Lillington Medical Services, Llc 7 E Duncan St Lillington NC 27546-4829 Ph: (910) 893-2641 |
| NPI Number | 1770897142 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 08/10/2022 |
| Medicare PECOS PAC ID | 7315139466 |
|---|---|
| Medicare Enrollment ID | O20101007000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770897142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher Wade Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851379226 PECOS PAC ID: 5395630776 Enrollment ID: I20040216000734 |
| Provider Name | Asif Zia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649238353 PECOS PAC ID: 7012944713 Enrollment ID: I20050728000390 |
| Provider Name | Paul J Grimm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609841444 PECOS PAC ID: 6103821095 Enrollment ID: I20060927000577 |
| Provider Name | John L Briggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598748220 PECOS PAC ID: 2264509280 Enrollment ID: I20080917000334 |
| Provider Name | Christine Mazzola Khandelwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265639207 PECOS PAC ID: 1052469335 Enrollment ID: I20090423000808 |
| Provider Name | Michelle L Deblaquiere |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962440107 PECOS PAC ID: 0345244752 Enrollment ID: I20120828000557 |
| Provider Name | David L Tolentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750383550 PECOS PAC ID: 2961448204 Enrollment ID: I20161031002169 |
| Provider Name | Regina Braxton Bray Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003127218 PECOS PAC ID: 1557532652 Enrollment ID: I20181226002181 |
| Provider Name | Kristy A Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912548595 PECOS PAC ID: 5395171649 Enrollment ID: I20200204001888 |
| Provider Name | Katasha Elisha Perry Lindley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710189022 PECOS PAC ID: 8022186360 Enrollment ID: I20210112000802 |
| Provider Name | Olivia M Del Valle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245822865 PECOS PAC ID: 2961810874 Enrollment ID: I20210414000775 |
| Provider Name | Zachary Anton Nevolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508355058 PECOS PAC ID: 0547695256 Enrollment ID: I20230214000203 |
| Provider Name | Jenny Lee Finlan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982149803 PECOS PAC ID: 2769826379 Enrollment ID: I20240221003757 |
First Choice Community Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 40 Autumn Fern Trail, Lillington, NC 27546 Phone: 910-893-5402 Fax: 910-893-2567 | |
Edgewater Medical Center And Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 S 10th Street, Lillington, NC 27546 Phone: 910-893-4111 Fax: 910-893-9850 | |
Lillington Family Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 East Duncan St, Lillington, NC 27546 Phone: 910-893-2641 Fax: 910-893-3208 | |
Hometown Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Pine State St, Suite C, Lillington, NC 27546 Phone: 910-474-0050 Fax: 863-228-8484 | |
Med First Immediate Care & Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S 10th St, Lillington, NC 27546 Phone: 910-893-4111 |