| Morcom Medical Consultants, Pllc | |
|
235 Jenkins Rd Dover NC 28526 | |
| (252) 521-0030 | |
| Not Available |
| Full Name | Morcom Medical Consultants, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 235 Jenkins Rd, Dover, North Carolina |
| Authorized Official Name and Position | Dawn R Moore (ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 2525210030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morcom Medical Consultants, Pllc 235 Jenkins Rd Dover NC 28526-9399 Ph: (252) 521-0030 | Morcom Medical Consultants, Pllc 235 Jenkins Rd Dover NC 28526 Ph: (252) 521-0030 |
| NPI Number | 1447314075 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/21/2018 |
| Medicare PECOS PAC ID | 4981773884 |
|---|---|
| Medicare Enrollment ID | O20080519000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447314075 | NPI | - | NPPES |
| 890257L | Medicaid | NC | |
| 2335762 | Other | NC | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0005X | Psychiatry & Neurology - Neurodevelopmental Disabilities | 127699 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 127699 (North Carolina) | Primary |
| Provider Name | Patti J Shoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487896247 PECOS PAC ID: 9830233014 Enrollment ID: I20100225000895 |
| Provider Name | Hoover Mcgy Royals |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093851891 PECOS PAC ID: 5991988388 Enrollment ID: I20110322000971 |
| Provider Name | Samantha Joanne Criste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003356767 PECOS PAC ID: 1951668128 Enrollment ID: I20171122002144 |
| Provider Name | Greta Crisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386287175 PECOS PAC ID: 5799111357 Enrollment ID: I20200130002093 |
| Provider Name | Tracy Louise Moore Duarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679145981 PECOS PAC ID: 5991102535 Enrollment ID: I20211012000888 |
Murrell Social Services Network-nc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Belltown Rd, Dover, NC 28526 Phone: 404-245-0659 Fax: 678-802-1970 |