| Sistasis Family Practice,inc. | |
|
147 E Academy St Asheboro NC 27203-5706 | |
| (336) 633-1212 | |
| (336) 633-1218 |
| Full Name | Sistasis Family Practice,inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 147 E Academy St, Asheboro, North Carolina |
| Authorized Official Name and Position | Rowena Sistasis (VICE PRESIDENT) |
| Authorized Official Contact | 3366331212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sistasis Family Practice,inc. Po Box 4247 Asheboro NC 27204-4247 Ph: (336) 633-1212 | Sistasis Family Practice,inc. 147 E Academy St Asheboro NC 27203-5706 Ph: (336) 633-1212 |
| NPI Number | 1780645812 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 08/05/2010 |
| Medicare PECOS PAC ID | 7719946243 |
|---|---|
| Medicare Enrollment ID | O20041008000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780645812 | NPI | - | NPPES |
| 89016FU | Medicaid | NC | |
| 016FU | Other | NC | BCBS GROUP NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rowena Maria Sistasis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013990506 PECOS PAC ID: 9436118965 Enrollment ID: I20041012000788 |
| Provider Name | Jim Sistasis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629051115 PECOS PAC ID: 2163481698 Enrollment ID: I20041012000828 |
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Triad Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Mack Rd Ste B, Asheboro, NC 27205 Phone: 336-510-0202 Fax: 336-493-4808 | |
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