| Progressive Medical Associates Pllc | |
|
13220 Rosedale Hill Ave Huntersville NC 28078-0361 | |
| (704) 766-0320 | |
| (704) 766-0407 |
| Full Name | Progressive Medical Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13220 Rosedale Hill Ave, Huntersville, North Carolina |
| Authorized Official Name and Position | Peter Le (OWNER) |
| Authorized Official Contact | 7047660320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Medical Associates Pllc 13220 Rosedale Hill Ave Huntersville NC 28078-0361 Ph: (704) 766-0320 | Progressive Medical Associates Pllc 13220 Rosedale Hill Ave Huntersville NC 28078-0361 Ph: (704) 766-0320 |
| NPI Number | 1811902398 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6608836234 |
|---|---|
| Medicare Enrollment ID | O20041018000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811902398 | NPI | - | NPPES |
| 89015XR | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (North Carolina) | Primary |
| Provider Name | Cuong Peter Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750340014 PECOS PAC ID: 0143289199 Enrollment ID: I20041006000683 |
| Provider Name | Stacy C Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841205325 PECOS PAC ID: 1850351487 Enrollment ID: I20041028000757 |
| Provider Name | Stacy K Mullet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922071570 PECOS PAC ID: 3779597737 Enrollment ID: I20060128000044 |
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