| Ella Davila-hernandez, | |
|
128 E Plaza Dr Ste 3, Mooresville, NC 28115-8000 | |
| (980) 444-2630 | |
| (980) 444-2631 |
| Full Name | Ella Davila-hernandez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 128 E Plaza Dr Ste 3, Mooresville, 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 |
|---|---|---|---|
| 1952707473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5007318 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iredell Physician Network Llc | 0749345007 | 90 |
| Entity Name | Iredell Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811381593 PECOS PAC ID: 0749345007 Enrollment ID: O20090219000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Ella Davila-hernandez, Po Box 896199, Charlotte, NC 28289-4358 Ph: (833) 963-1364 | Ella Davila-hernandez, 128 E Plaza Dr Ste 3, Mooresville, NC 28115-8000 Ph: (980) 444-2630 |
Erin Abbey Gray, FPN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 Medical Park Rd, Suite # 303, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-696-2929 | |
Marykay Holt, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101 | |
Mrs. Deborah O'neil Speaks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 559 River Hwy, Mooresville, NC 28117 Phone: 704-663-3438 Fax: 704-663-6469 | |
Tamara Rahman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 169 Gateway Blvd, Mooresville, NC 28117 Phone: 704-456-9991 | |
Kristin Lea Rice, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Medical Park Rd Ste 200, Mooresville, NC 28117 Phone: 704-696-2085 | |
Amy Andersen Bush, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd Ste 101, Mooresville, NC 28117 Phone: 980-302-7070 Fax: 980-302-7075 | |
Dawn Marie Cahn, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 Shavender Dr, Mooresville, NC 28117 Phone: 203-856-0745 |