Centerwell Senior Primary Care-gastonia - Medicare Primary Care in Gastonia, NC

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Centerwell Senior Primary Care-gastonia is a medicare enrolled primary clinic (Internal Medicine) in Gastonia, North Carolina. The current practice location for Centerwell Senior Primary Care-gastonia is 2910 E Franklin Blvd, 1, Gastonia, North Carolina. For appointments, you can reach them via phone at (704) 648-0460. The mailing address for Centerwell Senior Primary Care-gastonia is 6101 Blue Lagoon Dr Ste 200, Miami, Florida and phone number is (305) 500-2000.

Centerwell Senior Primary Care-gastonia is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073034625. 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) 648-0460.

Contact Information

Centerwell Senior Primary Care-gastonia
2910 E Franklin Blvd, 1
Gastonia
NC 28056-7725
(704) 648-0460
(855) 446-7146

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care-gastonia
SpecialityInternal Medicine
Location2910 E Franklin Blvd, 1, Gastonia, North Carolina
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care-gastonia
6101 Blue Lagoon Dr Ste 200
Miami
FL 33126-3168

Ph: (305) 500-2000		Centerwell Senior Primary Care-gastonia
2910 E Franklin Blvd, 1
Gastonia
NC 28056-7725

Ph: (704) 648-0460

NPI Details:

NPI Number1073034625
Provider Enumeration Date07/05/2017
Last Update Date07/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2264708486
Medicare Enrollment IDO20171016002152

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care-gastonia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073034625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
208D00000XGeneral Practice (* (Not Available))Secondary
261Q00000XClinic/center (North Carolina)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Centerwell Senior Primary Care-gastonia acts as a billing entity for following providers:
Provider NameKanchan P Mcmahan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649258492
PECOS PAC ID: 5991711913
Enrollment ID: I20060301000189
Provider NameAmir Z Ansari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477507713
PECOS PAC ID: 0345234282
Enrollment ID: I20070730000327
Provider NameBrian Anthony Walker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619949617
PECOS PAC ID: 7911943881
Enrollment ID: I20080521000676
Provider NameAhunna N Okwubunka Anyim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023216199
PECOS PAC ID: 5092803866
Enrollment ID: I20130823000458
Provider NameChristina Xiong Linart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710224332
PECOS PAC ID: 3971744038
Enrollment ID: I20160224001415
Provider NameBarron I Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972947679
PECOS PAC ID: 9335386010
Enrollment ID: I20170425001128
Provider NameMiesha Kindell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306202742
PECOS PAC ID: 7911201926
Enrollment ID: I20171010003125
Provider NameBrandi Lynn Stone
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326416835
PECOS PAC ID: 5799047379
Enrollment ID: I20180319002050
Provider NameJaicie Nadine Congress
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497242630
PECOS PAC ID: 4082969944
Enrollment ID: I20180618000152
Provider NameErica Lache' Savage-jeter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275657694
PECOS PAC ID: 9739234584
Enrollment ID: I20180709000632
Provider NameKavithamani Mallan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891257903
PECOS PAC ID: 1658602404
Enrollment ID: I20191009003209
Provider NameRoberta Capp
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548451669
PECOS PAC ID: 2264601939
Enrollment ID: I20200618002369
Provider NameJocelyn Alisa Sampson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427524958
PECOS PAC ID: 8921419557
Enrollment ID: I20201202002662
Provider NameLorie Jolly
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043638554
PECOS PAC ID: 2860754868
Enrollment ID: I20210107000154
Provider NameLindsay Patlewicz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841523784
PECOS PAC ID: 2163569187
Enrollment ID: I20210111001211
Provider NameHeidi S Cammer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467127886
PECOS PAC ID: 7214335942
Enrollment ID: I20211012000290
Provider NameKam Wei Chan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891759510
PECOS PAC ID: 9234328238
Enrollment ID: I20220121001975
Provider NameRobert Hanlin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568410280
PECOS PAC ID: 2264425529
Enrollment ID: I20220124000028
Provider NameMarcella Ann Tabor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184681579
PECOS PAC ID: 0244134013
Enrollment ID: I20220124000122
Provider NameStephanie Phillips
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861460883
PECOS PAC ID: 4284620774
Enrollment ID: I20220125000214
Provider NameAmy Beth Raz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881669315
PECOS PAC ID: 2668645516
Enrollment ID: I20221021001532
Provider NameBrittany Bowling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669042149
PECOS PAC ID: 0648646000
Enrollment ID: I20221026002319
Provider NameKusum Paudel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710608641
PECOS PAC ID: 5698145340
Enrollment ID: I20221221002686
Provider NameVijaya Surekha Bhamidipati
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679769863
PECOS PAC ID: 5698843761
Enrollment ID: I20230608003022
Provider NameJeff Turner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588968903
PECOS PAC ID: 8729305156
Enrollment ID: I20230621002221
Provider NameJalecia Maria Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164189874
PECOS PAC ID: 1658725882
Enrollment ID: I20230921003169
Provider NameSheila Ann Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164871166
PECOS PAC ID: 9739538083
Enrollment ID: I20231212001206

Reviews and Comments


Internal Medicine in Gastonia, NC

Vance Internal Medicine
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Medicare: Not Enrolled in Medicare
Practice Location: 3624 Easthampton Dr, Gastonia, NC 28056
Phone: 704-564-1312    Fax: 310-348-0201
Gastonia Medical Specialty Clinic Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1021 X Ray Dr, Gastonia, NC 28054
Phone: 704-867-2341    Fax: 704-867-9019
Gaston Family Health Services, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 137 Stowe Rd, Gastonia, NC 28056
Phone: 704-836-9112    Fax: 704-824-4715
Southern Pulmonary Center, P.a.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 900 Cox Rd, Ste B, Gastonia, NC 28054
Phone: 704-868-3411    Fax: 704-865-9722
Cramerton Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1343 E Garrison Blvd, Ste A, Gastonia, NC 28054
Phone: 704-861-9117    Fax: 704-861-0142
Whitestone Family Medicine
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 527 S New Hope Rd, Gastonia, NC 28054
Phone: 704-316-4979    Fax: 704-316-4978

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.