| Edward Marvin Mckeithan, NP | |
|
3971 Business 17 E, Bolivia, NC 28422-8675 | |
| (910) 500-6451 | |
| (910) 500-6458 |
| Full Name | Edward Marvin Mckeithan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 3971 Business 17 E, Bolivia, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821295668 | NPI | - | NPPES |
| 1992351910 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 105024 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Well Care Home Health | Wilmington, NC | Home health agency |
| Novant Health Brunswick Medical Center | Supply, NC | Hospital |
| Entity Name | Wilmington Family Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992351910 PECOS PAC ID: 6800222969 Enrollment ID: O20200207002349 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Marvin Mckeithan, NP 3971 Business 17 E, Bolivia, NC 28422-8675 Ph: (910) 500-6451 | Edward Marvin Mckeithan, NP 3971 Business 17 E, Bolivia, NC 28422-8675 Ph: (910) 500-6451 |
Richard Claude Casserino, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 257 Hospital Dr Ne Ste C, Bolivia, NC 28422 Phone: 910-721-4100 | |
Mr. James Bryant Pate, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Dr Ne Ste 201, Bolivia, NC 28422 Phone: 910-662-9500 Fax: 910-662-9501 | |
Mrs. Noemi Alicea James, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Dr Ne Ste 101, Bolivia, NC 28422 Phone: 910-721-4100 Fax: 910-721-4101 | |
Mrs. Victoria Edwards Smith, OBNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Courthouse Dr. Ne, Box 9, Bolivia, NC 28422 Phone: 910-253-2250 Fax: 910-253-2370 | |
Lori Ann Hanrahan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Dr Ne Ste 100, Bolivia, NC 28422 Phone: 910-721-4150 | |
Nicole Pray Kollman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Dr, Ste 201, Bolivia, NC 28422 Phone: 910-662-9500 Fax: 910-662-9501 | |
Mrs. Kerri Barbee Hardee, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-1000 |