Longevity Clinical Ltc Associates Of North Carolina Pllc - Medicare Primary Care in Salisbury, NC

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Longevity Clinical Ltc Associates Of North Carolina Pllc is a medicare enrolled primary clinic (Nurse Practitioner - Primary Care) in Salisbury, North Carolina. The current practice location for Longevity Clinical Ltc Associates Of North Carolina Pllc is 635 Statesville Blvd, Salisbury, North Carolina. For appointments, you can reach them via phone at (704) 633-7390. The mailing address for Longevity Clinical Ltc Associates Of North Carolina Pllc is 11770 Us 1 Ste 101, Palm Beach Gardens, Florida and phone number is (561) 444-0710.

Longevity Clinical Ltc Associates Of North Carolina Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154907855. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (704) 633-7390.

Contact Information

Longevity Clinical Ltc Associates Of North Carolina Pllc
635 Statesville Blvd
Salisbury
NC 28144-2201
(704) 633-7390
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLongevity Clinical Ltc Associates Of North Carolina Pllc
SpecialityNurse Practitioner
Location635 Statesville Blvd, Salisbury, North Carolina
Authorized Official Name and PositionDavid C Whybrew (MARKET PRESIDENT, LHP OKLAHOMA)
Authorized Official Contact9188595334
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Longevity Clinical Ltc Associates Of North Carolina Pllc
11770 Us 1 Ste 101
Palm Beach Gardens
FL 33408-3000

Ph: (561) 444-0710		Longevity Clinical Ltc Associates Of North Carolina Pllc
635 Statesville Blvd
Salisbury
NC 28144-2201

Ph: (704) 633-7390

NPI Details:

NPI Number1154907855
Provider Enumeration Date03/23/2021
Last Update Date03/23/2021

Medicare PECOS Information:

Medicare PECOS PAC ID3375952559
Medicare Enrollment IDO20210430000235

Medical Identifiers

Medical identifiers for Longevity Clinical Ltc Associates Of North Carolina Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154907855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary
363LG0600XNurse Practitioner - Gerontology (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Longevity Clinical Ltc Associates Of North Carolina Pllc acts as a billing entity for following providers:
Provider NameSherry L Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952675209
PECOS PAC ID: 4587811633
Enrollment ID: I20140502001869
Provider NameNickcola Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992112007
PECOS PAC ID: 1456572916
Enrollment ID: I20141027000254
Provider NameMichelle Deaton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396115424
PECOS PAC ID: 9133420110
Enrollment ID: I20151216001345
Provider NameTheresa C Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528426855
PECOS PAC ID: 8628375755
Enrollment ID: I20160404002261
Provider NameValorie M Bogue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366005142
PECOS PAC ID: 5496089427
Enrollment ID: I20190626000035
Provider NameBrittny L Mielke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629603774
PECOS PAC ID: 4981027398
Enrollment ID: I20200701002817
Provider NameEmily Cline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447876396
PECOS PAC ID: 8426474396
Enrollment ID: I20200824000289
Provider NameLauren Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265050181
PECOS PAC ID: 7315342441
Enrollment ID: I20210826003226
Provider NameWhitney Moody
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730858226
PECOS PAC ID: 0143627620
Enrollment ID: I20210927001017
Provider NameNicole Calhoun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306481114
PECOS PAC ID: 7719377159
Enrollment ID: I20220413001871
Provider NameAnthony Oliver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285219733
PECOS PAC ID: 4880050509
Enrollment ID: I20230522002296
Provider NameJackie Wiszczur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689062390
PECOS PAC ID: 4284954975
Enrollment ID: I20240813002212

Reviews and Comments


Nurse Practitioner in Salisbury, NC


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Practice Location: 611 Mocksville Ave, Salisbury, NC 28144
Phone: 704-633-7220    Fax: 704-647-0515

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Medicare: Not Enrolled in Medicare
Practice Location: 340 Jake Alexander Blvd W, Suite C, Salisbury, NC 28147
Phone: 704-403-8320    Fax: 704-403-8321

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Medicare: Not Enrolled in Medicare
Practice Location: 1910 Jake Alexander Blvd W Ste 201, Salisbury, NC 28147
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Medicare: Not Enrolled in Medicare
Practice Location: 1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147
Phone: 704-638-1555    

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Medicare: Not Enrolled in Medicare
Practice Location: 111 S Salisbury Gq Ave, Salisbury, NC 28146
Phone: 704-279-1679    Fax: 704-279-1677

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.