| Dr Elizabeth Lee Mizelle, DO | |
|
400 Us 70 Highway E, Garner, NC 27529-4049 | |
| (919) 235-6400 | |
| Not Available |
| Full Name | Dr Elizabeth Lee Mizelle |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 400 Us 70 Highway E, Garner, 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 |
|---|---|---|---|
| 1902151970 | NPI | - | NPPES |
| 1902151970 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | Q0098 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 2015-00659 (North Carolina) | Primary |
| Entity Name | Wake Specialty Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942440375 PECOS PAC ID: 7416006085 Enrollment ID: O20090601000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth Lee Mizelle, DO Po Box 602195, Charlotte, NC 28260-2195 Ph: (919) 350-0351 | Dr Elizabeth Lee Mizelle, DO 400 Us 70 Highway E, Garner, NC 27529-4049 Ph: (919) 235-6400 |
Dr. Erin Bennek Reis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 811 Us 70 Hwy W, Garner, NC 27529 Phone: 919-235-6565 | |
Dr. Jodi M Winkel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Poole Dr, Garner, NC 27529 Phone: 919-779-1440 Fax: 919-662-5084 | |
Dr. Gregory T Pleasants, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Poole Dr, Garner, NC 27529 Phone: 919-779-1440 Fax: 919-662-5084 | |
Dr. Suzanne Elizabeth Eaton-jones, MD MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Poole Dr, Garner, NC 27529 Phone: 919-779-1440 Fax: 919-662-5084 | |
Mr. Jason Daniel Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Poole Drive, Garner, NC 27529 Phone: 919-779-1440 Fax: 919-662-5084 | |
Dr. Gonzalo Andres Fernandez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 112 Donmoor Ct, Garner, NC 27529 Phone: 919-661-0801 Fax: 919-661-0807 | |
Jessica Fahrbach O'neill, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Poole Dr, Garner, NC 27529 Phone: 919-779-1440 Fax: 919-662-0613 |