| Michele Tidwell Cole, FNP | |
|
151 Medical Park Dr, Jefferson, NC 28640-9560 | |
| (336) 246-7161 | |
| (336) 835-4761 |
| Full Name | Michele Tidwell Cole |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 151 Medical Park Dr, Jefferson, 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 |
|---|---|---|---|
| 1396939443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5019172 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5019172 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Ashe Memorial Hospital | Jefferson, NC | Hospital |
| Wilkes Regional Medical Center | North wilkesboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest Health Network Llc | 4183538895 | 277 |
| Blue Ridge Healthcare Medical Group Inc | 9436159712 | 183 |
| Entity Name | Wake Forest Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
| Entity Name | Blue Ridge Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467993931 PECOS PAC ID: 9436159712 Enrollment ID: O20070110000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Tidwell Cole, FNP 2903 Broadstone Rd, Banner Elk, NC 28604-9046 Ph: (828) 493-1675 | Michele Tidwell Cole, FNP 151 Medical Park Dr, Jefferson, NC 28640-9560 Ph: (336) 246-7161 |
Amanda Dancy Bundy, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Hospital Avenue, Jefferson, NC 28643 Phone: 336-846-6322 | |
Robin Arlene Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 Medical Park Dr., Jefferson, NC 28640 Phone: -- | |
Emily Michelle Denny, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 413 Mcconnell St, Jefferson, NC 28640 Phone: 336-246-9449 Fax: 336-846-2025 | |
Cathy Griffitts Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Ave Ste 3, Jefferson, NC 28640 Phone: 336-846-7433 Fax: 336-846-7878 | |
Ms. Addison Brinkley Fairchild, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Colvard Farm Rd, Jefferson, NC 28640 Phone: 828-964-6379 | |
Mrs. Rebecca Scoggin Clark, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 413 Mcconnell St, Jefferson, NC 28640 Phone: 336-246-9449 Fax: 336-846-2025 |