| Jason Payne, NP | |
|
2334 41st St, Wilmington, NC 28403-5502 | |
| (910) 815-3122 | |
| Not Available |
| Full Name | Jason Payne |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2334 41st St, Wilmington, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851523039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5016558 (North Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | COA.09427 (Ohio) | Secondary |
| Entity Name | Liberty Healthcare Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629217856 PECOS PAC ID: 4587574355 Enrollment ID: O20090428000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Payne, NP 2312 Amorosa Loop Ne, Leland, NC 28451-0438 Ph: (614) 499-7483 | Jason Payne, NP 2334 41st St, Wilmington, NC 28403-5502 Ph: (910) 815-3122 |
Travis Aaron Finkle, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2909 Market St, Wilmington, NC 28403 Phone: 910-687-4888 | |
Carolyn Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970 | |
Valerie Lynn Wegener, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8108b Market St, Wilmington, NC 28411 Phone: 910-341-3300 Fax: 910-251-2067 | |
Mrs. Shannon Boney Mathis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Medical Center Dr, Wilmington, NC 28401 Phone: 910-662-8550 Fax: 910-343-1924 | |
Nannette B Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-772-9202 Fax: 910-772-9452 | |
Elizabeth Granger, NNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970 | |
Kelly B Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2334 41st St, Wilmington, NC 28403 Phone: 910-641-4095 |