| Jay R Oswald, PA | |
|
101 Clinic Dr, Tarboro, NC 27886-1935 | |
| (252) 823-7288 | |
| Not Available |
| Full Name | Jay R Oswald |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 101 Clinic Dr, Tarboro, 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 |
|---|---|---|---|
| 1427027010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 103006 (North Carolina) | Primary |
| Entity Name | Vidant Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay R Oswald, PA 101 Clinic Dr, Tarboro, NC 27886-1935 Ph: (252) 823-7288 | Jay R Oswald, PA 101 Clinic Dr, Tarboro, NC 27886-1935 Ph: (252) 823-7288 |
Kimberly Ann Obrien, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-4245 |
David Wiseman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 Fax: 252-824-7653 |
Mr. Thomas John Galisin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2906 N Main St, Tarboro, NC 27886 Phone: 252-823-7212 Fax: 252-641-7286 |
Brooke Morgan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 252-641-7700 |
Mr. Ryland Lee Johnson Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2906 N Main St, Tarboro, NC 27886 Phone: 252-823-7212 |
Ann Gielyn Silva-abueg Konzem, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2906 N Main St, Tarboro, NC 27886 Phone: 252-823-7212 |
Mr. Paul Natale Lanfranchi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2906 N Main St, Tarboro, NC 27886 Phone: 252-823-7212 Fax: 252-641-7286 |