| Elizabeth Warren Desandre, NP | |
|
584 Hospital Dr Ne Unit D, Bolivia, NC 28422-0020 | |
| (910) 721-4150 | |
| (910) 721-4159 |
| Full Name | Elizabeth Warren Desandre |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 584 Hospital Dr Ne Unit D, Bolivia, 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 |
|---|---|---|---|
| 1821678368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 272250 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5014307 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Brunswick Medical Center | Supply, NC | Hospital |
| New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Warren Desandre, NP Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Elizabeth Warren Desandre, NP 584 Hospital Dr Ne Unit D, Bolivia, NC 28422-0020 Ph: (910) 721-4150 |
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 | |
Zachary James Murphy, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 584 Hospital Dr Ne Unit D, Bolivia, NC 28422 Phone: 910-721-4150 | |
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 | |
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 | |
Beverly Anne Montalvo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 584 Hospital Dr Ne Unit E, Bolivia, NC 28422 Phone: 910-662-9500 Fax: 910-662-9501 |