| Dr Crystal Goodwin Privette, MD | |
|
905 Thunder Rd, Elizabeth City, NC 27909-7672 | |
| (252) 334-0555 | |
| (844) 494-0230 |
| Full Name | Dr Crystal Goodwin Privette |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 22 Years |
| Location | 905 Thunder Rd, Elizabeth City, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639360290 | NPI | - | NPPES |
| 5911149 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2007-00674 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Chowan Hospital | Edenton, NC | Hospital |
| Sentara Albemarle Medical Center | Elizabeth city, NC | Hospital |
| Vidant Bertie Hospital | Windsor, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 847 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Crystal Goodwin Privette, MD 905 Thunder Rd, Elizabeth City, NC 27909-7672 Ph: (252) 334-0555 | Dr Crystal Goodwin Privette, MD 905 Thunder Rd, Elizabeth City, NC 27909-7672 Ph: (252) 334-0555 |
Alfred M Moncla, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1141 N Road St, Suite I, Elizabeth City, NC 27909 Phone: 252-338-0101 Fax: 252-331-1598 | |
Robert O Holt, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 112 Medical Dr, Elizabeth City, NC 27909 Phone: 252-338-2151 Fax: 252-338-2505 | |
Marie Adele Moser, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 112 Medical Dr, Elizabeth City, NC 27909 Phone: 252-384-2610 | |
Dr. Mohamad Mehdi Parva, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 112 Medical Dr, Elizabeth City, NC 27909 Phone: 252-384-2610 Fax: 844-494-0230 | |
Barbara Ann Carter, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1141 N Road St, Suite I, Elizabeth City, NC 27909 Phone: 252-338-0101 Fax: 252-331-1598 | |
Paul R Moncla, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1141 N Road St, Suite I, Elizabeth City, NC 27909 Phone: 252-338-0101 Fax: 252-331-1598 | |
Paul Lindsay Stevenson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 112 Medical Dr, Elizabeth City, NC 27909 Phone: 252-384-2610 Fax: 252-338-2505 |