| Ms Patricia D Wilson, | |
|
1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | |
| (704) 933-3212 | |
| (704) 933-3221 |
| Full Name | Ms Patricia D Wilson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 29 Years |
| Location | 1309 S Cannon Blvd, Kannapolis, North Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922034008 | NPI | - | NPPES |
| 6106653 | Medicaid | NC | |
| 146FK | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C003790 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Miracles Healing Centers Inc | 8729273594 | 6 |
| Entity Name | Miracles Healing Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962597732 PECOS PAC ID: 8729273594 Enrollment ID: O20101108000319 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Patricia D Wilson, 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 Ph: (704) 939-1184 | Ms Patricia D Wilson, 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 Ph: (704) 933-3212 |
Latrecia Glover, LSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 West Ave, Kannapolis, NC 28081 Phone: 704-630-6634 | |
Phylicia Currence, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5890 Mantle Way, Kannapolis, NC 28081 Phone: 704-458-3061 | |
Ilanit Diana Lazar, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1305 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-939-1100 Fax: 704-939-1173 | |
Mikaella Rohmann, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Mooresville Rd, Kannapolis, NC 28081 Phone: 704-920-1000 Fax: 704-934-4270 | |
Julia Rae Beron, MSW, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 N Cannon Blvd Ste 106, Kannapolis, NC 28083 Phone: 980-206-3722 | |
Mrs. Priscilla D. Cooke, MSW, LCSW, LCAS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 West Ave, Kannapolis, NC 28081 Phone: 704-630-6634 Fax: 866-828-5520 | |
Beth Pfister, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1305 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-939-1100 Fax: 704-939-1173 |