Morcom Medical Consultants, Pllc | |
235 Jenkins Rd Dover NC 28526 | |
(252) 521-0030 | |
Not Available |
Full Name | Morcom Medical Consultants, Pllc |
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Speciality | Family Medicine |
Location | 235 Jenkins Rd, Dover, North Carolina |
Authorized Official Name and Position | Dawn R Moore (ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 2525210030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Morcom Medical Consultants, Pllc 235 Jenkins Rd Dover NC 28526-9399 Ph: (252) 521-0030 | Morcom Medical Consultants, Pllc 235 Jenkins Rd Dover NC 28526 Ph: (252) 521-0030 |
NPI Number | 1447314075 |
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Provider Enumeration Date | 12/20/2006 |
Last Update Date | 08/21/2018 |
Medicare PECOS PAC ID | 4981773884 |
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Medicare Enrollment ID | O20080519000418 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447314075 | NPI | - | NPPES |
890257L | Medicaid | NC | |
2335762 | Other | NC | MEDICARE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 127699 (North Carolina) | Primary |
2084P0005X | Psychiatry & Neurology - Neurodevelopmental Disabilities | 127699 (North Carolina) | Secondary |
Provider Name | Patti J Shoe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487896247 PECOS PAC ID: 9830233014 Enrollment ID: I20100225000895 |
Provider Name | Hoover Mcgy Royals |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093851891 PECOS PAC ID: 5991988388 Enrollment ID: I20110322000971 |
Provider Name | Samantha Joanne Criste |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003356767 PECOS PAC ID: 1951668128 Enrollment ID: I20171122002144 |
Provider Name | Greta Crisco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386287175 PECOS PAC ID: 5799111357 Enrollment ID: I20200130002093 |
Provider Name | Tracy Louise Moore Duarte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679145981 PECOS PAC ID: 5991102535 Enrollment ID: I20211012000888 |