| John Illsley, PA-C | |
|
702 N Main St, Roxboro, NC 27573-4755 | |
| (336) 599-9271 | |
| (336) 599-9271 |
| Full Name | John Illsley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 702 N Main St, Roxboro, North Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598291163 | NPI | - | NPPES |
| 1598291163 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-07223 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Person Memorial Hospital | Roxboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Person Family Medical Center Incorporated | 9436123379 | 8 |
| Entity Name | Person Family Medical Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952493587 PECOS PAC ID: 9436123379 Enrollment ID: O20040825000696 |
| Mailing Address | Practice Location Address |
|---|---|
| John Illsley, PA-C 702 N Main St, Roxboro, NC 27573-4755 Ph: (561) 350-0241 | John Illsley, PA-C 702 N Main St, Roxboro, NC 27573-4755 Ph: (336) 599-9271 |
Caitlin Elissa Seidler, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 910 N Madison Blvd Ste B, Roxboro, NC 27573 Phone: 336-592-2230 |
Mrs. Kaitlyn Kirby Lytle, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 702 N Main St, Roxboro, NC 27573 Phone: 336-599-9271 Fax: 336-599-0347 |
Stephanie Michelle Levan Elbel, MMS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 702 N Main St, Roxboro, NC 27573 Phone: 336-599-9271 Fax: 336-599-0347 |
Benjamin Dent Pierce, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 Weeks Dr, Roxboro, NC 27573 Phone: 336-598-5480 |
Laurie W Lee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 615 Ridge Rd, Roxboro, NC 27573 Phone: 843-237-3378 Fax: 843-237-5073 |
Michele B Kessler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 228 S Madison Blvd, Roxboro, NC 27573 Phone: 336-598-5480 |
Anthony P Masslofsky, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 615 Ridge Rd, Roxboro, NC 27573 Phone: 843-237-3378 Fax: 843-237-5073 |