| Brian Keith Jefferson, NP | |
|
200 Medical Park Dr, Ste 430, Concord, NC 28025-2982 | |
| (704) 403-5890 | |
| Not Available |
| Full Name | Brian Keith Jefferson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 200 Medical Park Dr, Concord, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093886996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 5002525 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5002525 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Medical Center-northeast | Concord, NC | Hospital |
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolinas Physicians Network Inc. | 3375449655 | 2100 |
| Carolinas Medical Center | 4789597477 | 817 |
| 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 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
| Entity Name | Charlotte Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053636472 PECOS PAC ID: 8729980776 Enrollment ID: O20040121001041 |
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Keith Jefferson, NP Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Brian Keith Jefferson, NP 200 Medical Park Dr, Ste 430, Concord, NC 28025-2982 Ph: (704) 403-5890 |
Lori Lovett Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025 Phone: 704-403-9050 | |
Mrs. Laura Hudson Werner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Poplar Tent Rd, Concord, NC 28027 Phone: 704-782-1727 | |
Jason K Freeburne, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333 | |
Temple Britt Byrd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333 | |
John Emmett Fesperman, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333 | |
Kimberly Smith Gallagher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 349 Penny Ln, Concord, NC 28025 Phone: 704-786-7158 | |
Jackie B Pace, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 349 Penny Ln, Concord, NC 28025 Phone: 704-786-7158 |