| Ms Kristen Michelle Dorsey, MD | |
|
2066 Nc Highway 125, Roanoke Rapids, NC 27870-9436 | |
| (252) 536-5000 | |
| (252) 536-2258 |
| Full Name | Ms Kristen Michelle Dorsey |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2066 Nc Highway 125, Roanoke Rapids, 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 |
|---|---|---|---|
| 1639105042 | NPI | - | NPPES |
| 410410200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | D64341 (Maryland) | Secondary |
| 208000000X | Pediatrics | 2012-02167 (North Carolina) | Primary |
| 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 |
|---|---|
| Ms Kristen Michelle Dorsey, MD Po Box 640, Roanoke Rapids, NC 27870-0640 Ph: (252) 536-5440 | Ms Kristen Michelle Dorsey, MD 2066 Nc Highway 125, Roanoke Rapids, NC 27870-9436 Ph: (252) 536-5000 |
Mrs. Sheila Bhagwandass, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 52 Anna Louise Lane, Roanoke Rapids, NC 27870 Phone: 252-537-6465 Fax: 252-535-0951 | |
Paulette Keith Ingram, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 529 Becker Dr, Roanoke Rapids, NC 27870 Phone: 252-537-1400 Fax: 252-537-4936 | |
Sandeep Kumar Tiwari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 529 Becker Dr, Roanoke Rapids, NC 27870 Phone: 252-537-6465 Fax: 252-535-0951 |