| Laura N Reniker, MD | |
|
171 Fairview Rd, Mooresville, NC 28117-9500 | |
| (704) 660-4390 | |
| (704) 660-4399 |
| Full Name | Laura N Reniker |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 171 Fairview Rd, Mooresville, 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 |
|---|---|---|---|
| 1710910385 | NPI | - | NPPES |
| 135MY | Other | NC | NCBCBS |
| 89135MY | Medicaid | NC | |
| N0080E | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 200300803 (North Carolina) | Primary |
| Entity Name | University Of North Carolina At Chapel Hill |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
| Entity Name | Mooresville Ppm Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700028982 PECOS PAC ID: 3577614791 Enrollment ID: O20090630000206 |
| Entity Name | Nhcs Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801252275 PECOS PAC ID: 7719209154 Enrollment ID: O20141215000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura N Reniker, MD 171 Fairview Rd, Mooresville, NC 28117-9500 Ph: (704) 660-4390 | Laura N Reniker, MD 171 Fairview Rd, Mooresville, NC 28117-9500 Ph: (704) 660-4390 |
Laura Therese Recchi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 136 Gateway Blvd Ste A, Mooresville, NC 28117 Phone: 704-799-2878 Fax: 704-799-1627 | |
Elizabeth Ellen Tilt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 511 Lisa Carol Dr, Mooresville, NC 28115 Phone: 704-651-3907 | |
Gianna Demos Madrid, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 656 Carpenter Ave, Mooresville, NC 28115 Phone: 704-664-5133 Fax: 704-799-6356 | |
Dr. Stephen James Malloney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 134 Medical Park Rd Ste 100, Mooresville, NC 28117 Phone: 704-662-0106 Fax: 808-290-6369 | |
Shelley H. Rinker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 133 Welton Way, Suite C, Mooresville, NC 28117 Phone: 704-664-2552 Fax: 704-664-5382 | |
Lisa Schroepfer Thomas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 136 Gateway Blvd Ste A, Mooresville, NC 28117 Phone: 704-799-2878 Fax: 704-799-1627 | |
Amy Poteat Ferguson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 656 Carpenter Ave, Mooresville, NC 28115 Phone: 704-664-5133 |