| Pave Behavioral Health Services Pc | |
|
10901 World Trade Blvd Raleigh NC 27617-4203 | |
| (919) 746-8904 | |
| Not Available |
| Full Name | Pave Behavioral Health Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10901 World Trade Blvd, Raleigh, North Carolina |
| Authorized Official Name and Position | Muhammad U Saeed (PSYCHIATRIST) |
| Authorized Official Contact | 9199856220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pave Behavioral Health Services Pc 611 Walcott Way Cary NC 27519-6806 Ph: (919) 985-6220 | Pave Behavioral Health Services Pc 10901 World Trade Blvd Raleigh NC 27617-4203 Ph: (919) 746-8904 |
| NPI Number | 1699173294 |
|---|---|
| Provider Enumeration Date | 12/12/2014 |
| Last Update Date | 06/13/2021 |
| Certification Date | 06/13/2021 |
| Medicare PECOS PAC ID | 8527384890 |
|---|---|
| Medicare Enrollment ID | O20150303002344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699173294 | NPI | - | NPPES |
| 5909672 | Medicaid | NC | |
| 149M5 | Other | NC | BCBS NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Muhammad U Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215197900 PECOS PAC ID: 4385710805 Enrollment ID: I20080908000356 |
| Provider Name | Charisse N Fullwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154085629 PECOS PAC ID: 9931593936 Enrollment ID: I20220308000163 |
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