| Laura N Reniker, MD | |
|
111 Hospital Dr, Tarboro, NC 27886-2011 | |
| (252) 641-7700 | |
| Not Available |
| Full Name | Laura N Reniker |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 111 Hospital Dr, Tarboro, 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 111 Hospital Dr, Tarboro, NC 27886-2011 Ph: (252) 641-7700 |
Dr. Jon Dubose, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 252-641-7700 Fax: 252-641-7313 | |
Dr. Gregory Jay Stark, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 Fax: 252-823-3164 | |
Ada Williams-wooten, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 | |
Sreelakshmi Chettoor Janardhanan, Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 |