| Visavis Health Care Medical Group Of Nc Pllc | |
|
228 Smith Chapel Rd Mount Olive NC 28365-1917 | |
| (929) 491-7333 | |
| Not Available |
| Full Name | Visavis Health Care Medical Group Of Nc Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 228 Smith Chapel Rd, Mount Olive, North Carolina |
| Authorized Official Name and Position | Rekha Bhandari (OWNER) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visavis Health Care Medical Group Of Nc Pllc 831 Bedford Ave Ste 530 Brooklyn NY 11205-2801 Ph: () - | Visavis Health Care Medical Group Of Nc Pllc 228 Smith Chapel Rd Mount Olive NC 28365-1917 Ph: (929) 491-7333 |
| NPI Number | 1861274607 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 03/07/2024 |
| Medicare PECOS PAC ID | 6406203157 |
|---|---|
| Medicare Enrollment ID | O20231117000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861274607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristin Rainelle Curcio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538195276 PECOS PAC ID: 9234174343 Enrollment ID: I20050620000959 |
| Provider Name | Jessica T Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821675158 PECOS PAC ID: 5395145593 Enrollment ID: I20210609002482 |
| Provider Name | Mariama Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20220123000000 |
| Provider Name | Akosua Neferteti Obeng-aduasare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230908002850 |
| Provider Name | Bridgett Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629580519 PECOS PAC ID: 3375931702 Enrollment ID: I20231205003864 |
| Provider Name | Jenna Michelle Koepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851848352 PECOS PAC ID: 8426346826 Enrollment ID: I20240109004137 |
| Provider Name | Bernadette Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275882292 PECOS PAC ID: 4789813767 Enrollment ID: I20240214002558 |
| Provider Name | Chassidy Leeann Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720475767 PECOS PAC ID: 8022322288 Enrollment ID: I20240315000705 |
| Provider Name | Irmalynn Mooneyham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225470057 PECOS PAC ID: 4880838440 Enrollment ID: I20240326000083 |
| Provider Name | Ellen Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821729039 PECOS PAC ID: 6305229741 Enrollment ID: I20240607003507 |
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