Dr Mary Paige Powell, PHD | |
1208 Eastchester Dr, Ste 200, High Point, NC 27265-3170 | |
(336) 802-2205 | |
(336) 802-2206 |
Full Name | Dr Mary Paige Powell |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 1208 Eastchester Dr, High Point, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982758512 | NPI | - | NPPES |
1730822-01 | Medicaid | TX | |
1982758512 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 32724 (Texas) | Secondary |
103T00000X | Psychologist | 4397 (North Carolina) | Primary |
Entity Name | Wake Forest Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Paige Powell, PHD 1701 Westchester Dr, Ste 850, High Point, NC 27262-7008 Ph: (336) 802-2536 | Dr Mary Paige Powell, PHD 1208 Eastchester Dr, Ste 200, High Point, NC 27265-3170 Ph: (336) 802-2205 |
Jennifer Linn Gagne', PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4515 Premier Dr Ste 402a, High Point, NC 27265 Phone: 336-702-1255 Fax: 336-802-2201 | |
Michael V. Kirch, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1208 Eastchester Dr, Suite 200, High Point, NC 27265 Phone: 336-802-2536 Fax: 336-802-2534 | |
Dr. Jennifer D. Clayton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 721 N Elm St, Ste 101, High Point, NC 27262 Phone: 336-802-2205 Fax: 336-802-2599 | |
Sharon A Barnes, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1208 Eastchester Dr, Suite 200, High Point, NC 27265 Phone: 336-802-2536 Fax: 336-802-2534 | |
Dr. Susanne Laree Palmer, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1208 Eastchester Dr Ste 200, High Point, NC 27265 Phone: 336-802-2205 Fax: 336-802-2206 | |
Thomas Austin Harrison, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 721 N Elm St, Suite 101, High Point, NC 27262 Phone: 336-802-2205 Fax: 336-802-2599 | |
Ellen Audra Nicola, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1208 Eastchester Dr, Suite 200, High Point, NC 27265 Phone: 336-802-2536 Fax: 336-802-2534 |