| Robert A Krause Md, Pllc | |
|
11 Office Park Dr Jacksonville NC 28546-7326 | |
| (910) 353-9906 | |
| (910) 353-4853 |
| Full Name | Robert A Krause Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11 Office Park Dr, Jacksonville, North Carolina |
| Authorized Official Name and Position | Robert Allen Krause (PRESIDENT) |
| Authorized Official Contact | 9103539906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A Krause Md, Pllc 11 Office Park Dr Jacksonville NC 28546-7326 Ph: (910) 353-9906 | Robert A Krause Md, Pllc 11 Office Park Dr Jacksonville NC 28546-7326 Ph: (910) 353-9906 |
| NPI Number | 1710932835 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 11/09/2009 |
| Medicare PECOS PAC ID | 8628032638 |
|---|---|
| Medicare Enrollment ID | O20091125000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710932835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 122788 (North Carolina) | Primary |
| Provider Name | Robert A Krause |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346231388 PECOS PAC ID: 7113981127 Enrollment ID: I20041201000301 |
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