| Laura Nastassja Sullivan, PA | |
|
1011 Pemberton Hill Rd, Ste 101, Apex, NC 27502-4266 | |
| (919) 620-4700 | |
| Not Available |
| Full Name | Laura Nastassja Sullivan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1011 Pemberton Hill Rd, Apex, 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 |
|---|---|---|---|
| 1124455704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-04483 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rex Hospital | Raleigh, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Carolina Mg Llc | 1951828847 | 723 |
| Entity Name | Duke University Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642 |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Entity Name | North Carolina MG LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215741640 PECOS PAC ID: 1951828847 Enrollment ID: O20250505001643 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Nastassja Sullivan, PA Po Box 751274, Charlotte, NC 28275-1274 Ph: (919) 620-4700 | Laura Nastassja Sullivan, PA 1011 Pemberton Hill Rd, Ste 101, Apex, NC 27502-4266 Ph: (919) 620-4700 |
Vandy Lyn Cannon Casey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1001 W Williams St Ste 103, Apex, NC 27502 Phone: 919-439-7867 |
William Sidney Payne, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1565 Orchard Villas Ave, Apex, NC 27502 Phone: 919-576-8350 Fax: 919-576-8399 |
Lacey Rae Golick, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1430 Doverside Dr, Apex, NC 27523 Phone: 724-554-4141 |
Kathleen Elizabeth Lukasik, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1011 Pemberton Hill Rd, Suite 101, Apex, NC 27502 Phone: 919-367-9355 |
Cynthia Stumpf Cleary, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2046 Creekside Landing Dr, Apex, NC 27502 Phone: 919-303-4777 Fax: 919-303-0077 |
Diana Chiritescu, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1091 Pemberton Hill Rd Ste 201, Apex, NC 27502 Phone: 919-367-3625 |
Mr. John Arthur Gantt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2046 Creekside Landing Dr, Apex, NC 27502 Phone: 919-303-4777 Fax: 919-303-0077 |