| John Marvin Bethune, | |
|
1530 Providence Rd S, Waxhaw, NC 28173-8313 | |
| (704) 627-8365 | |
| (704) 627-8366 |
| Full Name | John Marvin Bethune |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1530 Providence Rd S, Waxhaw, 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 |
|---|---|---|---|
| 1518593219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN.23980APRN (South Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5014484 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Medicorp Enterprises Llc | 0648174904 | 150 |
| Entity Name | Carolina Medicorp Enterprises Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760950646 PECOS PAC ID: 0648174904 Enrollment ID: O20040110000190 |
| Entity Name | Afc Urgent Care And Family Care Of Wnc Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679066658 PECOS PAC ID: 2567713332 Enrollment ID: O20180919000143 |
| Mailing Address | Practice Location Address |
|---|---|
| John Marvin Bethune, Po Box 601843, Charlotte, NC 28260-1843 Ph: () - | John Marvin Bethune, 1530 Providence Rd S, Waxhaw, NC 28173-8313 Ph: (704) 627-8365 |
Valerie Lynn Blatnik, N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10006 Chimney Dr, Waxhaw, NC 28173 Phone: 704-256-3300 | |
Jennifer Chimera, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1142 N Broome St, Waxhaw, NC 28173 Phone: 866-389-2727 Fax: 401-652-9787 | |
Kasey Usher Hudson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 S Providence Rd, Ste 300, Waxhaw, NC 28173 Phone: 704-243-2254 | |
Dana Lynn Ehlers, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Kronas Cir, Waxhaw, NC 28173 Phone: 980-328-4168 | |
Shyla S Young, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W South Main St, Waxhaw, NC 28173 Phone: 704-996-4101 | |
Elisa Edgerton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1142 N Broome St, Waxhaw, NC 28173 Phone: 704-843-4680 | |
Martha Barbu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1142 N Broome St, Waxhaw, NC 28173 Phone: 704-843-4680 |