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407 Live Oak St Beaufort NC 28516-1939 | |
| (252) 728-2328 | |
| (252) 728-2628 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 407 Live Oak St, Beaufort, North Carolina |
| Authorized Official Name and Position | Sherry O Kent (PRESIDENT) |
| Authorized Official Contact | 2527282328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
407 Live Oak St Beaufort NC 28516-1939 Ph: (252) 728-2328 | 407 Live Oak St Beaufort NC 28516-1939 Ph: (252) 728-2328 |
| NPI Number | 1730368952 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 04/22/2008 |
| Medicare PECOS PAC ID | 0042308629 |
|---|---|
| Medicare Enrollment ID | O20071115000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730368952 | NPI | - | NPPES |
| 7004408 | Medicaid | NC | |
| 2807373B | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sherry O Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205812799 PECOS PAC ID: 0244328821 Enrollment ID: I20071115000124 |
| Provider Name | Emily Louise Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306427828 PECOS PAC ID: 1759799190 Enrollment ID: I20210423000085 |
James J Crosswell Jr Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 97 Campen Road, Beaufort, NC 28516 Phone: 252-728-3875 Fax: 252-728-3594 | |
North River Primecare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Jones Ave, Beaufort, NC 28516 Phone: 252-728-3252 Fax: 252-728-3251 | |