| Andrew Loren Braaten, PA | |
|
628 E 12th St, Washington, NC 27889-3409 | |
| (252) 975-4319 | |
| (252) 948-4826 |
| Full Name | Andrew Loren Braaten |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 628 E 12th St, Washington, 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 |
|---|---|---|---|
| 1639849649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-12248 (North Carolina) | Primary |
| Entity Name | Vidant Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Loren Braaten, PA Po Box 751069, Charlotte, NC 28275-1069 Ph: Not Available | Andrew Loren Braaten, PA 628 E 12th St, Washington, NC 27889-3409 Ph: (252) 975-4319 |
Ms. Josephine Vida Del Rosario, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 853 Washington Square Mall, Washington, NC 27889 Phone: 252-623-2000 |
Albert Foster Hunt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4319 Fax: 252-948-4826 |
David A Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1207 Highland Dr, Washington, NC 27889 Phone: 252-946-6513 Fax: 252-948-0808 |
Bryson Lee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 853 Washington Square Mall, Washington, NC 27889 Phone: 252-623-2000 |
Stephanie Turnage, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1206 Brown St, Washington, NC 27889 Phone: 252-946-4134 Fax: 252-946-2432 |
Lisa Virginia Wharton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1412 Carolina Ave, Washington, NC 27889 Phone: 252-623-2000 |
Meredith W Eiban, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1206 Brown St, Washington, NC 27889 Phone: 252-946-4134 Fax: 252-946-2432 |