| Fatima A Brens, MD | |
|
700 N Main St, Stanley, NC 28164 | |
| (704) 263-8945 | |
| (704) 263-2591 |
| Full Name | Fatima A Brens |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 700 N Main St, Stanley, 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 |
|---|---|---|---|
| 1871678110 | NPI | - | NPPES |
| 1871678110 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2006-01670 (North Carolina) | Primary |
| Entity Name | Caromont Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Fatima A Brens, MD 700 N Main St, Stanley, NC 28164-1438 Ph: (704) 263-8945 | Fatima A Brens, MD 700 N Main St, Stanley, NC 28164 Ph: (704) 263-8945 |
Dr. Per Lykke Larsen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 N Main St, Stanley, NC 28164 Phone: 704-263-8945 Fax: 704-263-2591 | |
Patrice Dale Rodgers-morales, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 N Main St, Stanley, NC 28164 Phone: 704-263-8945 Fax: 704-263-2591 | |
Dr. Russell Ian Emerson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 N Main St, Stanley, NC 28164 Phone: 704-263-8945 Fax: 704-263-2591 |