| Marisa Bocklet, | |
|
100 Medical Park Dr Ste 310a, Concord, NC 28025-2966 | |
| (704) 403-2660 | |
| Not Available |
| Full Name | Marisa Bocklet |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 100 Medical Park Dr Ste 310a, Concord, 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 |
|---|---|---|---|
| 1023871373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolinas Medical Center | 4789597477 | 1057 |
| Entity Name | Carolinas Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Bocklet, 100 Medical Park Dr Ste 310, Concord, NC 28025-2966 Ph: Not Available | Marisa Bocklet, 100 Medical Park Dr Ste 310a, Concord, NC 28025-2966 Ph: (704) 403-2660 |
Gina Dimartino, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1028 Lee-ann Drive, Ne, Suite 200, Concord, NC 28025 Phone: 704-782-1892 |
Shivangi Manu Patel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664 |
Makeda Tiye Young, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr Ste 430, Concord, NC 28025 Phone: 704-403-7070 |
Stacey Butler Gipe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025 Phone: 704-786-6521 |
Melinda Daye, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5641 Poplar Tent Rd, Suite 101, Concord, NC 28027 Phone: 704-782-1955 |
Natalia Kohl Becker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 952-237-6564 |
Caitlin Marie Cleary, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 354 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-786-5122 Fax: 704-782-8279 |