<unavail> in Durham, NC - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Durham, North Carolina. The current practice location for is 1515 W Nc Hwy 54, Ste 130, Durham, North Carolina. For appointments, you can reach them via phone at (919) 419-0242. The mailing address for is 1515 W Nc Hwy 54, Ste 130, Durham, North Carolina and phone number is (919) 419-0242.

is licensed to practice in North Carolina (license number 200300258). The clinic also participates in the medicare program and its NPI number is 1295706133. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (919) 419-0242.

Contact Information


	1515 W Nc Hwy 54 Ste 130 Durham NC 27707
	(919) 419-0242
	(919) 401-4172

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	1515 W Nc Hwy 54, Durham, North Carolina
Authorized Official Name and Position	Tiffany Marum (MANAGING PHYSICIAN)
Authorized Official Contact	9194190242
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1515 W Nc Hwy 54 Ste 130 Durham NC 27707 Ph: (919) 419-0242	1515 W Nc Hwy 54 Ste 130 Durham NC 27707 Ph: (919) 419-0242

NPI Details:

NPI Number	1295706133
Provider Enumeration Date	01/30/2006
Last Update Date	09/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	5294792248
Medicare Enrollment ID	O20041213000018

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295706133	NPI	-	NPPES
017RT	Other	NC	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	200300258 (North Carolina)	Primary
207R00000X	Internal Medicine	9700021 (North Carolina)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Tiffany Marum
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1548466204 PECOS PAC ID: 5597721159 Enrollment ID: I20041206000325

Provider Name	Hana Aous Alkhaldi
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1295041937 PECOS PAC ID: 4486892155 Enrollment ID: I20150626000272

Provider Name	Katherine Kulenic
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1083918841 PECOS PAC ID: 0042519779 Enrollment ID: I20160502002447

Reviews and Comments

Family Medicine in Durham, NC

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- Medicare Primary Care in Durham, NC