| Mr Clyde A Epps, PA | |
|
506 Island Grove Rd, Maxton, NC 28364-7840 | |
| (910) 374-5415 | |
| Not Available |
| Full Name | Mr Clyde A Epps |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 506 Island Grove Rd, Maxton, 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 |
|---|---|---|---|
| 1174740138 | NPI | - | NPPES |
| 0169 | Other | GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 104169 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeastern Regional Medical Center | Lumberton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Behavioral Healthcare Inc | 3779771316 | 9 |
| Rha Behavioral Health Nc Llc | 4688948656 | 20 |
| Southeastern Regional Medical Center | 7315857141 | 54 |
| Scotland Memorial Hospital, Inc | 0648208504 | 259 |
| Entity Name | Scotland Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477791507 PECOS PAC ID: 0648208504 Enrollment ID: O20031105000382 |
| Entity Name | Southeastern Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154399699 PECOS PAC ID: 7315857141 Enrollment ID: O20040119000154 |
| Entity Name | Advantage Behavioral Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689750663 PECOS PAC ID: 3779771316 Enrollment ID: O20101222000938 |
| Entity Name | Premier Behavioral Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657645 PECOS PAC ID: 6406003334 Enrollment ID: O20120829000314 |
| Entity Name | Rha Behavioral Health NC LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700318680 PECOS PAC ID: 4688948656 Enrollment ID: O20170914003770 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clyde A Epps, PA 506 Island Grove Rd, Maxton, NC 28364-7840 Ph: (910) 374-5415 | Mr Clyde A Epps, PA 506 Island Grove Rd, Maxton, NC 28364-7840 Ph: (910) 374-5415 |
Ms. Audrey Dominique Szigedi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364 Phone: 910-844-5253 Fax: 910-844-3290 |
Leyia Bullard Oxendine, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364 Phone: 910-844-5253 |