| Aydan Luke Heavner, | |
|
4350 Us 421 S, Lillington, NC 27546-6760 | |
| (910) 893-1210 | |
| Not Available |
| Full Name | Aydan Luke Heavner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4350 Us 421 S, Lillington, 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 |
|---|---|---|---|
| 1093420697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001004740 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Cumberland County Hospital System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Entity Name | Emergency Coverage LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Aydan Luke Heavner, 924 Clear Creek Cir, Lincolnton, NC 28092-8005 Ph: Not Available | Aydan Luke Heavner, 4350 Us 421 S, Lillington, NC 27546-6760 Ph: (910) 893-1210 |
Mrs. Jamie Strickland Campbell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 809 S 8th St, Lillington, NC 27546 Phone: 910-808-5888 Fax: 910-984-1005 |
Ms. Dania Mahmoud Farawi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 Autumn Fern Trl, Lillington, NC 27546 Phone: 910-364-0970 Fax: 910-814-4062 |
Brandy Norris Mountcastle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 S Main St, Lillington, NC 27546 Phone: 910-514-1152 |
Maggie Jones, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 S 10th St, Lillington, NC 27546 Phone: 910-893-4111 |
Marshall Price, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1870 Keith Hills Rd, Lillington, NC 27546 Phone: 910-891-9490 |
Grace Glass, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4350 Us 421 S, Lillington, NC 27546 Phone: 910-893-1210 |
Anna Finestone Leviere, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4350 Us 421 S, Lillington, NC 27546 Phone: 910-893-1210 |