| Kendra Jo Back, ARNP | |
|
448 Cranberry St, Newland, NC 28657-8800 | |
| (828) 737-0221 | |
| (828) 737-0321 |
| Full Name | Kendra Jo Back |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 448 Cranberry St, Newland, 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 |
|---|---|---|---|
| 1437408093 | NPI | - | NPPES |
| 297601 | Other | GA | STATE OF GA APRN LICENSE |
| ARNP9212674 | Other | FL | STATE OF FLORIDA ARNP LICENSE |
| 5021586 | Other | NC | STATE OF NC APRN |
| Y0EZQ | Other | FL | FLORIDA BLUE-BCBS |
| 65122071 | Medicaid | CO | |
| 041572779 | Other | IL | STATE OF IL APRN LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charles A Cannon Jr Memorial Hospital | Linville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brightside Medical Pc | 6608262464 | 242 |
| High Country Community Health | 8628225190 | 29 |
| Entity Name | Brightside Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230404000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra Jo Back, ARNP Po Box 1490, Boone, NC 28607-0682 Ph: (828) 262-3886 | Kendra Jo Back, ARNP 448 Cranberry St, Newland, NC 28657-8800 Ph: (828) 737-0221 |
Laura Sparks, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 545 Schultz Cir, Newland, NC 28657 Phone: 828-733-6031 | |
William Mcguire, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 448 Cranberry St, Newland, NC 28657 Phone: 828-737-0221 | |
Katelind Ingalls, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 436 Hospital Dr Ste 230, Newland, NC 28657 Phone: 828-737-7711 | |
Glenda Reed Dobson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 585 Goose Hollow Rd, Newland, NC 28657 Phone: 828-260-5651 | |
Jennie Goodwin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 137 Notalee St, Newland, NC 28657 Phone: 828-397-9334 Fax: 828-373-9218 | |
Miss Jessica Liniece Storer, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 137 Notalee St, Newland, NC 28657 Phone: 828-397-9334 Fax: 828-373-9218 |