| Leslie Adam Keyser, PA-C | |
|
461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 | |
| (910) 333-0283 | |
| (910) 333-0513 |
| Full Name | Leslie Adam Keyser |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 461 Western Blvd Ste 122, Jacksonville, 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 |
|---|---|---|---|
| 1750960977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-11186 (North Carolina) | Primary |
| Entity Name | Ecep II PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255407680 PECOS PAC ID: 5092709931 Enrollment ID: O20040413000773 |
| Entity Name | Star Medical Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033565007 PECOS PAC ID: 6800183963 Enrollment ID: O20160919000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Adam Keyser, PA-C 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 Ph: (910) 333-0283 | Leslie Adam Keyser, PA-C 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 Ph: (910) 333-0283 |
Chelsea Nace, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 51 Office Park Dr, Jacksonville, NC 28546 Phone: 910-577-5199 Fax: 910-577-3424 |
Mrs. Rachel Meador Bennett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 57 Office Park Dr, Jacksonville, NC 28546 Phone: 910-353-4414 Fax: 910-353-2972 |
Aubrey Marie Massaro, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Brabham Ave, Jacksonville, NC 28546 Phone: 910-341-3498 Fax: 910-762-1698 |
Mrs. Kimberly Lynn Ference, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 114c Memorial Dr, Family Care Clinic P.a., Jacksonville, NC 28546 Phone: 910-353-9688 Fax: 910-353-7498 |
Jesus Ricardo Martinez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 239 Station St, Jacksonville, NC 28546 Phone: 910-353-0824 Fax: 910-338-0068 |
Stephanie Trent Ballard, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2587 Henderson Dr, Jacksonville, NC 28546 Phone: 910-938-3200 |
Ms. Emma Patricia Stossel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 461 Western Blvd Ste 122, Jacksonville, NC 28546 Phone: 910-333-0283 Fax: 910-333-0513 |