| Shae Medical, Pllc | |
|
5306 Nc Highway 55 Suite 105 Durham NC 27713-7812 | |
| (919) 646-4858 | |
| (919) 679-7112 |
| Full Name | Shae Medical, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5306 Nc Highway 55, Durham, North Carolina |
| Authorized Official Name and Position | Brittany A. Mckinney (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9196464858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shae Medical, Pllc 5306 Nc Highway 55 Suite 105 Durham NC 27713-7812 Ph: (919) 646-4858 | Shae Medical, Pllc 5306 Nc Highway 55 Suite 105 Durham NC 27713-7812 Ph: (919) 646-4858 |
| NPI Number | 1053084202 |
|---|---|
| Provider Enumeration Date | 07/25/2021 |
| Last Update Date | 09/11/2024 |
| Medicare PECOS PAC ID | 6305242066 |
|---|---|
| Medicare Enrollment ID | O20210903000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053084202 | NPI | - | NPPES |
| Provider Name | Cathy M Heffner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598803173 PECOS PAC ID: 5799870507 Enrollment ID: I20071009000093 |
| Provider Name | Taylor Katherine Goodnough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598745325 PECOS PAC ID: 2466471149 Enrollment ID: I20090512000671 |
| Provider Name | Sophie Marian Draffin Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629691761 PECOS PAC ID: 8224492749 Enrollment ID: I20230915001697 |
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