| Dr Penelope S Bliss, MD | |
|
6602 Knightdale Blvd Ste 204, Knightdale, NC 27545-6567 | |
| (919) 782-5273 | |
| Not Available |
| Full Name | Dr Penelope S Bliss |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 6602 Knightdale Blvd Ste 204, Knightdale, 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 |
|---|---|---|---|
| 1558329110 | NPI | - | NPPES |
| 891064V | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 9700864 (North Carolina) | Primary |
| Entity Name | Unc Physicians Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Penelope S Bliss, MD 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: (984) 215-4111 | Dr Penelope S Bliss, MD 6602 Knightdale Blvd Ste 204, Knightdale, NC 27545-6567 Ph: (919) 782-5273 |
Mrs. Susan Chambers Hamilton, CPNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 6602 Knightdale Blvd Ste 204, Knightdale, NC 27545 Phone: 919-782-5273 | |
Jacqueline Farber Kerkow, Pediatrics Medicare: Medicare Enrolled Practice Location: 6602 Knightdale Blvd, Ste 204, Knightdale, NC 27545 Phone: 919-782-5273 | |
Dr. Kristi E Woods, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4019 Village Park Dr, Knightdale, NC 27545 Phone: 919-266-5059 Fax: 919-266-4309 | |
Dr. Beth Anne Ulrich, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4019 Village Park Dr, Knightdale, NC 27545 Phone: 919-266-5059 Fax: 919-266-4309 |