| Kimberly Mallick Fillman, PA | |
|
240 Hospital Dr Ne, Bolivia, NC 28422-8346 | |
| (843) 497-5929 | |
| Not Available |
| Full Name | Kimberly Mallick Fillman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 240 Hospital Dr Ne, Bolivia, 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 |
|---|---|---|---|
| 1578563235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 101827 (North Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 101827 (North Carolina) | Primary |
| Entity Name | Brunswick Physician Partners PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457822264 PECOS PAC ID: 2062752470 Enrollment ID: O20190321002645 |
| Entity Name | Piedmont Triad Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295206464 PECOS PAC ID: 6406197334 Enrollment ID: O20190403000344 |
| Entity Name | Kernersville Emergency Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750852034 PECOS PAC ID: 3375885429 Enrollment ID: O20190422001205 |
| Entity Name | Tanglewood Park Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093286379 PECOS PAC ID: 3476895129 Enrollment ID: O20190429001041 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Mallick Fillman, PA 240 Hospital Dr Ne, Bolivia, NC 28422-8346 Ph: Not Available | Kimberly Mallick Fillman, PA 240 Hospital Dr Ne, Bolivia, NC 28422-8346 Ph: (843) 497-5929 |
Kelsey Ann Kramer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-921-2070 Fax: 910-721-2074 |
Zachary Davis Maier, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-1000 |
Mr. Sampson Ray Booth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4311 Old Ocean Hwy, Bolivia, NC 28422 Phone: 877-935-5255 |
Joseph Henry Hobbs, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 843-497-5929 Fax: 843-839-4448 |
Mr. Michael D Watson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 113 Kite Cir Ne, Bolivia, NC 28422 Phone: 907-885-7779 |
Lisa K Paitsel, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-1000 |
Sarah Hayden Delabastide, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-755-1474 |