| Keisha Dixon, | |
|
2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | |
| (910) 907-8922 | |
| (910) 907-6069 |
| Full Name | Keisha Dixon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2817 Reilly Road Mcxc-cod Credentials, Fort Bragg, 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 |
|---|---|---|---|
| 1831400845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-03540 (North Carolina) | Primary |
| Entity Name | Drx High Point PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669701306 PECOS PAC ID: 7113061730 Enrollment ID: O20100220000328 |
| Entity Name | Doctors Express PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902124647 PECOS PAC ID: 9234263377 Enrollment ID: O20100811000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Keisha Dixon, 1616 E Millbrook Rd Ste 110, Raleigh, NC 27609-4971 Ph: (919) 341-4016 | Keisha Dixon, 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 Ph: (910) 907-8922 |
Bonnie Claire-kamei Barkley, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |
Mr. Brent Francis Bachman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2817 Reilly Street, Fort Bragg, NC 28310 Phone: 910-907-8617 |
Johnathan Hoggatt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 |
Mr. Thomas Jones Matherly, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Road, Womack Army Medical Center Dooh Pes Meb, Fort Bragg, NC 28310 Phone: 910-907-8602 Fax: 910-907-8602 |
Chelsea Joanna Mccully, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |
Thad J Dabback, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8707 |
Mr. Kurt Hammermueller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Rd, Wamcak Army Medical Center, Fort Bragg, NC 28310 Phone: 910-951-4393 Fax: 910-907-4222 |