| Zen Psychiatric Services Pllc | |
|
126 Fiddlers Run Blvd Morganton NC 28655-7753 | |
| (828) 475-1183 | |
| Not Available |
| Full Name | Zen Psychiatric Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 126 Fiddlers Run Blvd, Morganton, North Carolina |
| Authorized Official Name and Position | Anthony Frasca (MD) |
| Authorized Official Contact | 8284030623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zen Psychiatric Services Pllc Po Box 248 Morganton NC 28680-0248 Ph: (828) 403-0623 | Zen Psychiatric Services Pllc 126 Fiddlers Run Blvd Morganton NC 28655-7753 Ph: (828) 475-1183 |
| NPI Number | 1023643384 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 03/06/2020 |
| Certification Date | 03/06/2020 |
| Medicare PECOS PAC ID | 6709215270 |
|---|---|
| Medicare Enrollment ID | O20200403001757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023643384 | NPI | - | NPPES |
| 1508885443 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Anthony Adolph Frasca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508885443 PECOS PAC ID: 3375437650 Enrollment ID: I20060510000492 |
| Provider Name | Mary Kathleen Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336155050 PECOS PAC ID: 8820099179 Enrollment ID: I20070129000765 |
| Provider Name | Regina L Whisnant-roper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811024219 PECOS PAC ID: 8628169943 Enrollment ID: I20070801000099 |
| Provider Name | Stacey Moretz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376919282 PECOS PAC ID: 4688983885 Enrollment ID: I20151028001678 |
| Provider Name | Brian Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568571016 PECOS PAC ID: 8224288113 Enrollment ID: I20161017002298 |
| Provider Name | Krista Leighann Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184464877 PECOS PAC ID: 9931630159 Enrollment ID: I20240930000308 |
| Provider Name | Rodney Lee Wike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376355388 PECOS PAC ID: 0446775332 Enrollment ID: I20250423002916 |
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