| Wellness Family Practice, Pa | |
|
100 Ridge View Dr Suite 105 Cary NC 27511-5589 | |
| (919) 859-7044 | |
| (919) 859-7052 |
| Full Name | Wellness Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Ridge View Dr, Cary, North Carolina |
| Authorized Official Name and Position | Kati E Dessauer (DOCTOR) |
| Authorized Official Contact | 9198597044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Family Practice, Pa 100 Ridge View Dr Suite 105 Cary NC 27511-5589 Ph: (919) 859-7044 | Wellness Family Practice, Pa 100 Ridge View Dr Suite 105 Cary NC 27511-5589 Ph: (919) 859-7044 |
| NPI Number | 1285844662 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 06/12/2009 |
| Medicare PECOS PAC ID | 3173621802 |
|---|---|
| Medicare Enrollment ID | O20070604000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285844662 | NPI | - | NPPES |
| 1306832563 | Other | NC | NPI # |
| 4352699 | Other | NC | AETNA |
| 58364 | Other | NC | BCBS |
| C0514 | Other | NC | MEDCOST |
| 1092658008 | Other | NC | CIGNA |
| 1409466 | Other | NC | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32201 (North Carolina) | Primary |
| Provider Name | Kati Ellizabeth Dessauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306832563 PECOS PAC ID: 2264530997 Enrollment ID: I20100828000016 |
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