| Michael Charles Brenner, PA | |
|
114 Brady Ct, Cary, NC 27511-4554 | |
| (919) 469-1252 | |
| (919) 469-1373 |
| Full Name | Michael Charles Brenner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 114 Brady Ct, Cary, 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 |
|---|---|---|---|
| 1831328137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-01829 (North Carolina) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Charles Brenner, PA 5420 Wade Park Blvd, Ste 106, Raleigh, NC 27607-4188 Ph: (919) 851-2174 | Michael Charles Brenner, PA 114 Brady Ct, Cary, NC 27511-4554 Ph: (919) 469-1252 |
Mrs. Joanna Beth Wisotsky, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 New Waverly Pl Ste 203, Cary, NC 27518 Phone: 919-410-7083 |
Sarah Adrienne Assante, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 907 Kildaire Farm Rd, Cary, NC 27511 Phone: 919-319-6610 Fax: 919-319-6365 |
Marissa Ann Koshy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 City Walls St, Cary, NC 27513 Phone: 919-348-0294 |
Ivonne Vanessa Reza, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 155 Parkway Office Ct Ste 201, Cary, NC 27518 Phone: 919-233-2022 |
Ms. Sarah Elizabeth Hicks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Ashville Ave, Suite 440, Cary, NC 27518 Phone: 919-350-8585 |
Kristina Lynne Bullock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 115 Kildaire Park Dr Ste 205, Cary, NC 27518 Phone: 919-787-7246 Fax: 919-787-7247 |
Sarah Nassar, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Keisler Dr Ste 200, Cary, NC 27518 Phone: 919-859-4744 Fax: 919-859-5834 |