| Kelly Marie Whalen, PA | |
|
2610 Aberdeen Blvd, Gastonia, NC 28054-0637 | |
| (980) 442-4500 | |
| Not Available |
| Full Name | Kelly Marie Whalen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 2610 Aberdeen Blvd, Gastonia, 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 |
|---|---|---|---|
| 1811502578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-14158 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Matthews Medical Center | Matthews, NC | Hospital |
| Novant Health Mint Hill Medical Center | Charlotte, NC | Hospital |
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Novant Health Ballantyne Medical Center | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2413 |
| Entity Name | Novant Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Marie Whalen, PA Po Box 60447, Charlotte, NC 28260-0447 Ph: Not Available | Kelly Marie Whalen, PA 2610 Aberdeen Blvd, Gastonia, NC 28054-0637 Ph: (980) 442-4500 |
Taneisha L Barnett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2664 Court Dr, Gastonia, NC 28054 Phone: 704-861-9030 Fax: 704-833-1234 |
Lisa Camille Pruitt Richards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste A, Gastonia, NC 28054 Phone: 704-671-6400 Fax: 704-671-6449 |
Mr. Timothy Allen Boyd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 870 Summit Crossing Pl, Gastonia, NC 28054 Phone: 704-867-2333 |
Mr. Michael Harrison Long, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 870 Summit Crossing Pl, Gastonia, NC 28054 Phone: 704-323-2000 |
Tatjana Misunina, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr Ste 200, Gastonia, NC 28054 Phone: 410-245-5367 |
Cassandra Dawn Eichler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2391 Court Dr Ste 105, Gastonia, NC 28054 Phone: 704-671-7390 Fax: 704-671-7396 |
Carlos Saul Anzola, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2555 Court Dr Ste 200, Gastonia, NC 28054 Phone: 704-867-2141 Fax: 704-867-2308 |