Patriot Physician Services Pllc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Roper, North Carolina. The current practice location for Patriot Physician Services Pllc is 1719 Albemarle Beach Rd, Roper, North Carolina. For appointments, you can reach them via phone at
(276) 730-5919. The mailing address for Patriot Physician Services Pllc is 5261 Carrollton Pike Ste E, Woodlawn, Virginia and phone number is (276) 730-5919.
Patriot Physician Services Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1427773886. 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
(276) 730-5919.
Primary Care Clinic Profile
| Full Name | Patriot Physician Services Pllc |
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| Speciality | Clinic/Center |
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| Location | 1719 Albemarle Beach Rd, Roper, North Carolina |
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| Authorized Official Name and Position | Carrie Burnette (CHIEF EXECUTIVE OFFICER) |
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| Authorized Official Contact | 2767305919 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Patriot Physician Services Pllc
5261 Carrollton Pike Ste E
Woodlawn
VA 24381-3034
Ph: (276) 730-5919 | Patriot Physician Services Pllc
1719 Albemarle Beach Rd
Roper
NC 27970-9419
Ph: (276) 730-5919 |
NPI Details:
| NPI Number | 1427773886 |
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| Provider Enumeration Date | 10/07/2022 |
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| Last Update Date | 10/07/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4789054248 |
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| Medicare Enrollment ID | O20221228001910 |
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Medical Identifiers
Medical identifiers for Patriot Physician Services Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427773886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (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.
Patriot Physician Services Pllc acts as a billing entity for following providers:
| Provider Name | Craig Hayek |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1720053358
PECOS PAC ID: 9931117884
Enrollment ID: I20221228002033 |
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