| Eventus Wh Midwest Care, Llc | |
|
101 Cabarrus Ave E Ste 100 Concord NC 28025-3781 | |
| (855) 743-2247 | |
| Not Available |
| Full Name | Eventus Wh Midwest Care, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 101 Cabarrus Ave E Ste 100, Concord, North Carolina |
| Authorized Official Name and Position | Jennifer Rucci (OWNER) |
| Authorized Official Contact | 5127924402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Wh Midwest Care, Llc Po Box 1431 Dept 425 Charlotte NC 28201-1431 Ph: (855) 743-2247 | Eventus Wh Midwest Care, Llc 101 Cabarrus Ave E Ste 100 Concord NC 28025-3781 Ph: (855) 743-2247 |
| NPI Number | 1588481717 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 1456880632 |
|---|---|
| Medicare Enrollment ID | O20250203001519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588481717 | NPI | - | NPPES |
| Provider Name | Thomas P Van Den Driessche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073507745 PECOS PAC ID: 3678592292 Enrollment ID: I20051114000365 |
| Provider Name | Donald Wolfram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669499257 PECOS PAC ID: 7113020009 Enrollment ID: I20070314000177 |
| Provider Name | Kevin D Neese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699710319 PECOS PAC ID: 6800867383 Enrollment ID: I20071016000210 |
| Provider Name | Paul T Kaplanis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497860167 PECOS PAC ID: 4981767696 Enrollment ID: I20090107000089 |
| Provider Name | Kelly J Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518960681 PECOS PAC ID: 6608062443 Enrollment ID: I20101119000196 |
| Provider Name | Pragneshkumar N Radadiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548421985 PECOS PAC ID: 4880886621 Enrollment ID: I20110620000655 |
| Provider Name | Steven R Shelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215934310 PECOS PAC ID: 6406754910 Enrollment ID: I20110930000216 |
| Provider Name | Nadeem W Najam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982669495 PECOS PAC ID: 9032178934 Enrollment ID: I20181012000679 |
| Provider Name | Abraham O Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20181023002662 |
| Provider Name | Taryn Fernandes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508396292 PECOS PAC ID: 6406248947 Enrollment ID: I20221026001833 |
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