| Alicia Golden Warrick Bouska, PA-C | |
|
1300 N University Pkwy, High Point, NC 27262-3456 | |
| (336) 841-4683 | |
| (336) 888-6353 |
| Full Name | Alicia Golden Warrick Bouska |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1300 N University Pkwy, High Point, 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 |
|---|---|---|---|
| 1538335260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 102588 (North Carolina) | Primary |
| 363AM0700X | Physician Assistant - Medical | 102588 (North Carolina) | Secondary |
| Entity Name | Wake Forest Health Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
| Entity Name | Novant Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Golden Warrick Bouska, PA-C Po Box 60447, Charlotte, NC 28260-0447 Ph: Not Available | Alicia Golden Warrick Bouska, PA-C 1300 N University Pkwy, High Point, NC 27262-3456 Ph: (336) 841-4683 |
Mr. Duane D Woods, P.A. C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 |
Kinsley C Coley, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1814 Westchester Dr, Suite 101, High Point, NC 27262 Phone: 336-802-2150 Fax: 336-802-2151 |
Christopher S Cowen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 Phillips Ave, High Point, NC 27262 Phone: 336-802-2040 Fax: 336-802-2041 |
Mr. Bradford Chase, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4590 Premier Dr, High Point, NC 27265 Phone: 336-802-2050 Fax: 336-802-2051 |
Emmanuel Jean-jacques, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 306 Westwood Ave Ste 401, High Point, NC 27262 Phone: 336-885-6166 Fax: 336-885-8523 |
Ms. Emily Brown Smingler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1403 Eastchester Dr, High Point, NC 27265 Phone: 336-370-5240 Fax: 336-899-2176 |
Allison Paige O'neill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 N Elm St, High Point, NC 27262 Phone: 336-878-6000 |