| John D Beaver, NP | |
|
110 N Brown St, Chadbourn, NC 28431-1716 | |
| (910) 654-1701 | |
| (910) 654-5701 |
| Full Name | John D Beaver |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 110 N Brown St, Chadbourn, 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 |
|---|---|---|---|
| 1255382354 | NPI | - | NPPES |
| 344634A | Medicaid | NC | |
| 344634C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 005000684 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Columbus Regional Healthcare System | Whiteville, NC | Hospital |
| Southeastern Regional Medical Center | Lumberton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goshen Medical Center Incorporated | 3173434479 | 96 |
| Entity Name | Goshen Medical Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962124974 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
| Mailing Address | Practice Location Address |
|---|---|
| John D Beaver, NP 110 N Brown St, Chadbourn, NC 28431-1716 Ph: (910) 654-1701 | John D Beaver, NP 110 N Brown St, Chadbourn, NC 28431-1716 Ph: (910) 654-1701 |
Jennifer Paige Ward, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 128 Clearbrook, Chadbourn, NC 28431 Phone: 910-212-0600 |
Mrs. Pamela F Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 E 7th Ave, Chadbourn, NC 28431 Phone: 910-654-3143 Fax: 910-654-4144 |