| Triangle Primary Care Associates, Pllc | |
|
851 Durham Rd Suite D Wake Forest NC 27587-8793 | |
| (919) 554-0900 | |
| (336) 784-1116 |
| Full Name | Triangle Primary Care Associates, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 851 Durham Rd, Wake Forest, North Carolina |
| Authorized Official Name and Position | Kofi Bruce Mensah (MD) |
| Authorized Official Contact | 9195540900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Primary Care Associates, Pllc 851 Durham Rd Suite D Wake Forest NC 27587-8793 Ph: (919) 554-0900 | Triangle Primary Care Associates, Pllc 851 Durham Rd Suite D Wake Forest NC 27587-8793 Ph: (919) 554-0900 |
| NPI Number | 1801850250 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 09/13/2010 |
| Medicare PECOS PAC ID | 3173422557 |
|---|---|
| Medicare Enrollment ID | O20040105000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801850250 | NPI | - | NPPES |
| 2333540 | Other | MEDICARE GROUP | |
| 89013JE | Medicaid | NC | |
| DD7390 | Other | NC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 108082 (North Carolina) | Primary |
| Provider Name | Monica M Capp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366428393 PECOS PAC ID: 7315847993 Enrollment ID: I20041105000911 |
| Provider Name | Kofi Bruce-mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457335242 PECOS PAC ID: 3779535265 Enrollment ID: I20050212000000 |
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