| Mahoganee Bethea, FNP-C | |
|
200 Pavilion Way, Southern Pines, NC 28387-4561 | |
| (910) 295-5511 | |
| Not Available |
| Full Name | Mahoganee Bethea |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 200 Pavilion Way, Southern Pines, 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 |
|---|---|---|---|
| 1336846526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5018772 (North Carolina) | Primary |
| Entity Name | Pinehurst Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255388369 PECOS PAC ID: 5991617169 Enrollment ID: O20031105000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Mahoganee Bethea, FNP-C 200 Pavilion Way, Southern Pines, NC 28387-4561 Ph: () - | Mahoganee Bethea, FNP-C 200 Pavilion Way, Southern Pines, NC 28387-4561 Ph: (910) 295-5511 |
Mrs. America Berenice Reece, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Pavilion Way, Southern Pines, NC 28387 Phone: 910-295-5511 | |
Devin Garner, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10889 Us Hwy 15, Southern Pines, NC 28387 Phone: 910-725-0134 | |
Victoria L Cooper, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Pavilion Way, Southern Pines, NC 28387 Phone: 910-246-4140 Fax: 865-381-1509 | |
Kimberly Marie Niemeyer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 195 W Illinois Ave, Southern Pines, NC 28387 Phone: 910-692-2444 | |
Erica Biles Vincent, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 135 Turner St, Southern Pines, NC 28387 Phone: 910-246-2229 Fax: 910-246-0237 | |
Ashley Sue Cochran, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Pavilion Way, Southern Pines, NC 28387 Phone: 910-235-3330 | |
Kathryn Fedder, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 135 Turner St, Southern Pines, NC 28387 Phone: 910-246-2229 |