| Eileen Marie Quilty, NP | |
|
2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | |
| (984) 227-8902 | |
| Not Available |
| Full Name | Eileen Marie Quilty |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 31 Years |
| Location | 2645 Meridian Pkwy Ste 323, Durham, 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 |
|---|---|---|---|
| 1891773008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0006-00036 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 600036 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| T4 Medical Pllc | 0244769156 | 30 |
| Pai Participant 29 Pc | 6002216215 | 23 |
| Entity Name | Vitae Health Medical North Carolina PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265064414 PECOS PAC ID: 7719317932 Enrollment ID: O20200430000531 |
| Entity Name | Longevity Clinical Ltc Associates of North Carolina PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154907855 PECOS PAC ID: 3375952559 Enrollment ID: O20210430000235 |
| Entity Name | Pai Participant 29 PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245813757 PECOS PAC ID: 6002216215 Enrollment ID: O20210609002615 |
| Entity Name | Longevity Accountable Care, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396584454 PECOS PAC ID: 0840734034 Enrollment ID: O20240718000268 |
| Entity Name | T4 Medical PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699546861 PECOS PAC ID: 0244769156 Enrollment ID: O20250122001838 |
| Mailing Address | Practice Location Address |
|---|---|
| Eileen Marie Quilty, NP 10320 Feld Farm Ln Ste 300, Charlotte, NC 28210-8484 Ph: (704) 541-0925 | Eileen Marie Quilty, NP 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 Ph: (984) 227-8902 |