| Lara Kester Surles, MD | |
|
2450 Emerald Pl, Greenville, NC 27834-5784 | |
| (252) 551-1066 | |
| (252) 551-1067 |
| Full Name | Lara Kester Surles |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 2450 Emerald Pl, Greenville, 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 |
|---|---|---|---|
| 1285682989 | NPI | - | NPPES |
| 89134JY | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200100963 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Greenville, NC | Home health agency |
| Vidant Medical Center | Greenville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians East Pa | 1850284571 | 102 |
| Entity Name | Physicians East Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598761967 PECOS PAC ID: 1850284571 Enrollment ID: O20040205001222 |
| 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 |
|---|---|
| Lara Kester Surles, MD 2450 Emerald Pl, Greenville, NC 27834-5784 Ph: (252) 551-1066 | Lara Kester Surles, MD 2450 Emerald Pl, Greenville, NC 27834-5784 Ph: (252) 551-1066 |
Dr. Giselle Devonne Blair, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 315 W 2nd St, Greenville, NC 27834 Phone: 252-507-0588 Fax: 855-937-0774 | |
Dr. Emily L Bray, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Heart Dr, Greenville, NC 27834 Phone: 252-744-4611 Fax: 252-744-3201 | |
Dr. Shivajirao Prakash Patil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Heart Dr, Greenville, NC 27834 Phone: 252-744-4611 Fax: 252-744-3040 | |
Dr. Jessica Lee Zimmerman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Heart Dr, Greenville, NC 27834 Phone: 252-744-4611 Fax: 252-744-3201 | |
Dr. Ashton Fox Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-4757 Fax: 252-744-5014 | |
Dr. Celeste T. Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1204 E Fire Tower Rd, Greenville, NC 27858 Phone: 252-744-1122 Fax: 252-744-1133 | |
Dr. Sean Carl Vidulich, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1204 E Fire Tower Rd, Greenville, NC 27858 Phone: 252-744-1122 Fax: 252-744-1133 |