| Masonboro Urgent Care, Pc | |
|
6132 Carolina Beach Rd Unit 8 Wilmington NC 28412-2788 | |
| (910) 794-4947 | |
| (910) 794-4943 |
| Full Name | Masonboro Urgent Care, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6132 Carolina Beach Rd, Wilmington, North Carolina |
| Authorized Official Name and Position | Tricia Meyer (OFFICE MANAGER) |
| Authorized Official Contact | 9107944947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Masonboro Urgent Care, Pc 6132 Carolina Beach Rd Unit 8 Wilmington NC 28412-2788 Ph: (910) 794-4947 | Masonboro Urgent Care, Pc 6132 Carolina Beach Rd Unit 8 Wilmington NC 28412-2788 Ph: (910) 794-4947 |
| NPI Number | 1427389865 |
|---|---|
| Provider Enumeration Date | 01/25/2010 |
| Last Update Date | 08/18/2010 |
| Medicare PECOS PAC ID | 9638206287 |
|---|---|
| Medicare Enrollment ID | O20100429001183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427389865 | NPI | - | NPPES |
| 5913688 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9700334 (North Carolina) | Primary |
| Provider Name | James D Worriax |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740482108 PECOS PAC ID: 6103904776 Enrollment ID: I20080422000805 |
| Provider Name | Mitchell D Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669584207 PECOS PAC ID: 5698844603 Enrollment ID: I20080516000480 |
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