| Katrina Gobenciong, | |
|
3600 Nw Cary Pkwy Ste 104, Cary, NC 27513-8444 | |
| (919) 319-9219 | |
| (919) 481-1716 |
| Full Name | Katrina Gobenciong |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 3600 Nw Cary Pkwy Ste 104, Cary, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942906425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-13796 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Spine And Pain Specialists Pc | 2860543097 | 31 |
| Avance Care Pa | 3577634476 | 244 |
| Entity Name | Avance Care PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487845020 PECOS PAC ID: 3577634476 Enrollment ID: O20080620000196 |
| Entity Name | Wake Spine & Pain Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568696748 PECOS PAC ID: 2860543097 Enrollment ID: O20090630000286 |
| Entity Name | Doctors Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003484734 PECOS PAC ID: 9032500376 Enrollment ID: O20211222000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Katrina Gobenciong, 305 Misty Groves Cir, Morrisville, NC 27560-8172 Ph: (910) 398-5273 | Katrina Gobenciong, 3600 Nw Cary Pkwy Ste 104, Cary, NC 27513-8444 Ph: (919) 319-9219 |
Mrs. Joanna Beth Wisotsky, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 New Waverly Pl Ste 203, Cary, NC 27518 Phone: 919-410-7083 Fax: 919-436-2144 |
Sarah Adrienne Assante, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 907 Kildaire Farm Rd, Cary, NC 27511 Phone: 919-319-6610 Fax: 919-319-6365 |
Marissa Ann Koshy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 City Walls St, Cary, NC 27513 Phone: 919-348-0294 |
Ivonne Vanessa Reza, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 155 Parkway Office Ct Ste 201, Cary, NC 27518 Phone: 919-233-2022 |
Ms. Sarah Elizabeth Hicks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Ashville Ave, Suite 440, Cary, NC 27518 Phone: 919-350-8585 |
Kristina Lynne Bullock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 115 Kildaire Park Dr Ste 205, Cary, NC 27518 Phone: 919-787-7246 Fax: 919-787-7247 |
Sarah Nassar, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Keisler Dr Ste 200, Cary, NC 27518 Phone: 919-859-4744 Fax: 919-859-5834 |