| Ezekiel Grant Shepherd, | |
|
100 Cornerstone Dr, Cary, NC 27519-8453 | |
| (919) 650-3660 | |
| Not Available |
| Full Name | Ezekiel Grant Shepherd |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 100 Cornerstone Dr, Cary, 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 |
|---|---|---|---|
| 1679234330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fastmed Pc | 9830540558 | 174 |
| Entity Name | The Carolinas Emergency Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
| Entity Name | Fastmed PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629841788 PECOS PAC ID: 9830540558 Enrollment ID: O20240108000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Ezekiel Grant Shepherd, 178 Keith Weathers Rd, Fuquay Varina, NC 27526-7477 Ph: (336) 466-3201 | Ezekiel Grant Shepherd, 100 Cornerstone Dr, Cary, NC 27519-8453 Ph: (919) 650-3660 |
Mrs. Joanna Beth Wisotsky, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 New Waverly Pl Ste 203, Cary, NC 27518 Phone: 919-410-7083 |
Sarah Adrienne Assante, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 907 Kildaire Farm Rd, Cary, NC 27511 Phone: 919-319-6610 Fax: 919-319-6365 |
Marissa Ann Koshy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 City Walls St, Cary, NC 27513 Phone: 919-348-0294 |
Ivonne Vanessa Reza, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 155 Parkway Office Ct Ste 201, Cary, NC 27518 Phone: 919-233-2022 |
Ms. Sarah Elizabeth Hicks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Ashville Ave, Suite 440, Cary, NC 27518 Phone: 919-350-8585 |
Kristina Lynne Bullock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 115 Kildaire Park Dr Ste 205, Cary, NC 27518 Phone: 919-787-7246 Fax: 919-787-7247 |
Sarah Nassar, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Keisler Dr Ste 200, Cary, NC 27518 Phone: 919-859-4744 Fax: 919-859-5834 |