| Lawrence Andrew Blelloch, PA | |
|
4420 Lake Boone Trl Ste 203, Raleigh, NC 27607-7505 | |
| (919) 784-2930 | |
| (919) 784-2929 |
| Full Name | Lawrence Andrew Blelloch |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 32 Years |
| Location | 4420 Lake Boone Trl Ste 203, Raleigh, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245287416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 101803 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maria Parham Medical Center | Henderson, NC | Hospital |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dlp Maria Parham Physician Practices Llc | 7719153683 | 54 |
| Forsyth Memorial Hospital Inc | 9537071790 | 622 |
| North Carolina Mg Llc | 1951828847 | 723 |
| 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 | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Entity Name | Integrated Wound Specialists of North Carolina, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558666776 PECOS PAC ID: 7810172616 Enrollment ID: O20110420000583 |
| Entity Name | Dlp Maria Parham Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215273628 PECOS PAC ID: 7719153683 Enrollment ID: O20111222000550 |
| Entity Name | Dlp Western Carolina Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609281641 PECOS PAC ID: 9032338975 Enrollment ID: O20140908002531 |
| Entity Name | Dlp Haywood Regional Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336542067 PECOS PAC ID: 9638398340 Enrollment ID: O20150109001818 |
| 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 |
|---|---|
| Lawrence Andrew Blelloch, PA 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: (984) 215-4111 | Lawrence Andrew Blelloch, PA 4420 Lake Boone Trl Ste 203, Raleigh, NC 27607-7505 Ph: (919) 784-2930 |
Nader Cyrus Emami-kelishadi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 703-585-0860 |
Charlotte Rowe Spangler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609 Phone: 919-277-9841 |
Mrs. Bailey Hardy Underhill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8000 Fax: 919-350-7204 |
Mrs. Emily Lauren Voynovich Parrella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13271 Strickland Rd Ste 120, Raleigh, NC 27613 Phone: 919-741-4677 Fax: 919-741-6349 |
Ms. Micaela Marie Hofer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8000 |
Darren Richard Kirk, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2605 Blue Ridge Rd Ste 300, Raleigh, NC 27607 Phone: 919-787-3448 |
Katherine Williams, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3237 Blue Ridge Rd, Raleigh, NC 27612 Phone: 919-781-7500 |