| Robersonville Physicians Pc | |
|
504 N Main St Robersonville NC 27871-9567 | |
| (252) 795-5555 | |
| (252) 795-5566 |
| Full Name | Robersonville Physicians Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 504 N Main St, Robersonville, North Carolina |
| Authorized Official Name and Position | Thomas Joseph Gennosa (OWNER) |
| Authorized Official Contact | 2527955555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robersonville Physicians Pc 504 N Main St Robersonville NC 27871-9567 Ph: (252) 795-5555 | Robersonville Physicians Pc 504 N Main St Robersonville NC 27871-9567 Ph: (252) 795-5555 |
| NPI Number | 1700075348 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 8325199805 |
|---|---|
| Medicare Enrollment ID | O20090623000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700075348 | NPI | - | NPPES |
| 8912294 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 9900506 (North Carolina) | Primary |
| Provider Name | Thomas J Gennosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962483446 PECOS PAC ID: 3577614049 Enrollment ID: I20090623000323 |
Healthfirst Wellness Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N Main St, Robersonville, NC 27871 Phone: 252-341-5811 |