Senior Care Systems, P.a. | |
1013 Porters Neck Rd Suite 100 Wilmington NC 28411 | |
(910) 686-1099 | |
(910) 686-4715 |
Full Name | Senior Care Systems, P.a. |
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Speciality | Family Medicine |
Location | 1013 Porters Neck Rd, Wilmington, North Carolina |
Authorized Official Name and Position | Audrey L Sutton-surak (PRESIDENT) |
Authorized Official Contact | 9106861099 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Senior Care Systems, P.a. 1013 Porters Neck Rd Suite100 Wilmington NC 28411-8130 Ph: (910) 686-1099 | Senior Care Systems, P.a. 1013 Porters Neck Rd Suite 100 Wilmington NC 28411 Ph: (910) 686-1099 |
NPI Number | 1821168055 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 08/06/2018 |
Medicare PECOS PAC ID | 8527053024 |
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Medicare Enrollment ID | O20040415000403 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821168055 | NPI | - | NPPES |
890164H | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 68426 (North Carolina) | Primary |
Provider Name | Edith L Pearsall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033255369 PECOS PAC ID: 8022072651 Enrollment ID: I20041115000246 |
Provider Name | Audrey L Sutton-surak |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922080811 PECOS PAC ID: 8224064969 Enrollment ID: I20070609000020 |
Provider Name | Belinda J Mcpherson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609987197 PECOS PAC ID: 3870635782 Enrollment ID: I20100114000759 |
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