| Celia B Entwistle, MD | |
|
200 Medical Park Dr Ste 400, Concord, NC 28025-0939 | |
| (704) 786-1108 | |
| (704) 782-1826 |
| Full Name | Celia B Entwistle |
|---|---|
| Gender | Female |
| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
| Location | 200 Medical Park Dr Ste 400, Concord, 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 |
|---|---|---|---|
| 1407806110 | NPI | - | NPPES |
| N36179 | Medicaid | SC | |
| 89-30701 | Medicaid | NC | |
| 930095201 | Other | NC | RR MEDICARE |
| 30701 | Other | NC | BCBSNC |
| 046910802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 36179 (North Carolina) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 36179 (North Carolina) | Primary |
| Entity Name | Primary Care Providers & Beyond, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023788510 PECOS PAC ID: 7214326958 Enrollment ID: O20211117003238 |
| Mailing Address | Practice Location Address |
|---|---|
| Celia B Entwistle, MD Po Box 602362, Charlotte, NC 28260-2362 Ph: (704) 638-9990 | Celia B Entwistle, MD 200 Medical Park Dr Ste 400, Concord, NC 28025-0939 Ph: (704) 786-1108 |
Steven H St. Clair, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1090 Northeast Gateway Court Ne, Suite 201, Concord, NC 28025 Phone: 704-403-9000 Fax: 704-403-9001 |
Scott C Aumuller, DO Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr Ste 400, Concord, NC 28025 Phone: 704-786-1108 |
Robert William Pippin, MS, OTR/L Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 354 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-323-2000 |