| Deborah Hupp, | |
|
245 East Roosevelt Ave, Minuteclinic Diagnostic Of North Carolina, Wake Forest, NC 27587 | |
| (866) 389-2727 | |
| (401) 652-9787 |
| Full Name | Deborah Hupp |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 245 East Roosevelt Ave, Wake Forest, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053500363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 84271 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic Of North Carolina Pc | 6002837572 | 172 |
| Entity Name | Minuteclinic Diagnostic Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699748608 PECOS PAC ID: 6002837572 Enrollment ID: O20051212000719 |
| Entity Name | Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770354763 PECOS PAC ID: 0941642169 Enrollment ID: O20241113004761 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Hupp, 9305 Glamis Cir, Wake Forest, NC 27587-1648 Ph: (919) 453-1640 | Deborah Hupp, 245 East Roosevelt Ave, Minuteclinic Diagnostic Of North Carolina, Wake Forest, NC 27587 Ph: (866) 389-2727 |
Rebecca K Dallas, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1655 Wake Drive, Suite 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277 | |
Caroline Wambui Kinge, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 Lower Lake Rd, Wake Forest, NC 27587 Phone: 919-630-3475 | |
Deshah Jalen Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 833 Wake Forest Business Park Ste F, Wake Forest, NC 27587 Phone: 919-230-1419 | |
Cherita Anders, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 195-564-7799 Fax: 919-556-5277 | |
Ms. Christina Theresa Newman, AGPCNP - BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Tackwood Ct, Wake Forest, NC 27587 Phone: 919-757-9194 | |
Gwen Christine Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 S Main St, Wake Forest, NC 27587 Phone: 919-350-0365 |