| Summit Family Medicine | |
|
515 W Salisbury St Suite D Asheboro NC 27203-5497 | |
| (336) 636-5100 | |
| (336) 636-5144 |
| Full Name | Summit Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 515 W Salisbury St, Asheboro, North Carolina |
| Authorized Official Name and Position | Pamela A Penner (OWNER) |
| Authorized Official Contact | 3366365100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Medicine Po Box 5086 Asheboro NC 27204-5086 Ph: (336) 636-5100 | Summit Family Medicine 515 W Salisbury St Suite D Asheboro NC 27203-5497 Ph: (336) 636-5100 |
| NPI Number | 1316128580 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 11/16/2007 |
| Medicare PECOS PAC ID | 7810905650 |
|---|---|
| Medicare Enrollment ID | O20060405000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316128580 | NPI | - | NPPES |
| 89130T5 | Medicaid | NC | |
| 130T5 | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200101484 (North Carolina) | Primary |
| Provider Name | Pamela A Penner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679550040 PECOS PAC ID: 0345229977 Enrollment ID: I20060407000012 |
| Provider Name | Sarah Rhyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619497682 PECOS PAC ID: 7719250562 Enrollment ID: I20170830002244 |
| Provider Name | Jessica Nicole Wilburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225591118 PECOS PAC ID: 5991038242 Enrollment ID: I20190531001661 |
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Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1831 N Fayetteville St, Asheboro, NC 27203 Phone: 336-672-1300 |