| Diana M Mckeithan, FNP-C | |
|
101 N Walnut St, Fairmont, NC 28340-1951 | |
| (910) 628-0655 | |
| (910) 628-0158 |
| Full Name | Diana M Mckeithan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 101 N Walnut St, Fairmont, 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 |
|---|---|---|---|
| 1790784619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201754 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brier Creek Integrated Pain And Spine Pllc | 9133214539 | 20 |
| Entity Name | Brier Creek Integrated Pain & Spine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538352760 PECOS PAC ID: 9133214539 Enrollment ID: O20071001000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana M Mckeithan, FNP-C 2600 N Elm St, Lumberton, NC 28358-3011 Ph: (910) 272-3051 | Diana M Mckeithan, FNP-C 101 N Walnut St, Fairmont, NC 28340-1951 Ph: (910) 628-0655 |
Brenda Mercer Allen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1212 S Walnut St, Fairmont, NC 28340 Phone: 910-628-6711 Fax: 910-628-5735 | |
Tammy Renea Chavis-watson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1516 Pleasant Hope Rd, Fairmont, NC 28340 Phone: 107-367-3759 | |
Mrs. Aundrea Rae Emanuel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 N Walnut St, Fairmont, NC 28340 Phone: 910-628-0655 Fax: 910-628-0158 |