Workit Health Mi Pllc | |
5500 Executive Center Dr Ste 226 Charlotte NC 28212-8821 | |
(651) 349-3442 | |
Not Available |
Full Name | Workit Health Mi Pllc |
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Speciality | General Practice |
Location | 5500 Executive Center Dr Ste 226, Charlotte, North Carolina |
Authorized Official Name and Position | Lindsay Barker (CREDENTIALING MANAGER) |
Authorized Official Contact | 7343730849 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Workit Health Mi Pllc 3300 Washtenaw Ave Ste 280 Ann Arbor MI 48104-5184 Ph: (734) 373-0849 | Workit Health Mi Pllc 5500 Executive Center Dr Ste 226 Charlotte NC 28212-8821 Ph: (651) 349-3442 |
NPI Number | 1336890482 |
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Provider Enumeration Date | 01/11/2022 |
Last Update Date | 07/24/2024 |
Medicare PECOS PAC ID | 6406101625 |
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Medicare Enrollment ID | O20220414000409 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336890482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Provider Name | Lori A Bannon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073962890 PECOS PAC ID: 3375838915 Enrollment ID: I20170403001652 |
Provider Name | Donna Ann Baldassare |
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Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1962662478 PECOS PAC ID: 9638305758 Enrollment ID: I20170712000623 |
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