| Pacs, Pc | |
|
10021 Park Cedar Dr Ste 200 Charlotte NC 28210-8701 | |
| (704) 438-9383 | |
| (704) 438-9383 |
| Full Name | Pacs, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 10021 Park Cedar Dr Ste 200, Charlotte, North Carolina |
| Authorized Official Name and Position | Holly Layman Bernardini (OWNER / MEDICAL DIRECTOR/PHYSICIAN) |
| Authorized Official Contact | 7044389383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacs, Pc 10021 Park Cedar Dr Ste 200 Charlotte NC 28210-8701 Ph: (704) 438-9383 | Pacs, Pc 10021 Park Cedar Dr Ste 200 Charlotte NC 28210-8701 Ph: (704) 438-9383 |
| NPI Number | 1790179505 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 11/01/2024 |
| Medicare PECOS PAC ID | 6002121530 |
|---|---|
| Medicare Enrollment ID | O20150813009463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790179505 | NPI | - | NPPES |
| 1790179505 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Holly Layman Bernardini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205883113 PECOS PAC ID: 4183689656 Enrollment ID: I20041123001027 |
| Provider Name | Karen Brown Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780665646 PECOS PAC ID: 4385669027 Enrollment ID: I20051011001037 |
| Provider Name | Deborah J Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477737567 PECOS PAC ID: 1153475389 Enrollment ID: I20090821000350 |
| Provider Name | Kathy K Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083954689 PECOS PAC ID: 2062653934 Enrollment ID: I20130719000210 |
| Provider Name | Kimberly Mae Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104266683 PECOS PAC ID: 9032417498 Enrollment ID: I20160419000279 |
| Provider Name | Sylvia L Coley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376054205 PECOS PAC ID: 5991063695 Enrollment ID: I20180102001440 |
| Provider Name | Madison Lee Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316581135 PECOS PAC ID: 4981038189 Enrollment ID: I20201020000438 |
| Provider Name | Kashari L Fulks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003428293 PECOS PAC ID: 4880004597 Enrollment ID: I20201109002608 |
| Provider Name | Carrie Elizabeth Avery Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306316179 PECOS PAC ID: 7113266362 Enrollment ID: I20211220000067 |
| Provider Name | Kyle Bryant Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043883903 PECOS PAC ID: 3779979943 Enrollment ID: I20220415001143 |
| Provider Name | Elaine Ambrosio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124784533 PECOS PAC ID: 5092194639 Enrollment ID: I20220628001278 |
| Provider Name | Carrie Frasure Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083484463 PECOS PAC ID: 2466893128 Enrollment ID: I20240513000510 |
Novant Health Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Atrium Health Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Carolina Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 | |
Health And Wellness Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 5th St, Suite 214, Charlotte, NC 28202 Phone: 704-909-7954 |