| Mr John C Kish, PA | |
|
35 Facility Drive, Medwest, Clyde, NC 28721 | |
| (828) 452-5042 | |
| (828) 452-9225 |
| Full Name | Mr John C Kish |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 35 Facility Drive, Clyde, 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 |
|---|---|---|---|
| 1013910843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 103183 (North Carolina) | Primary |
| Entity Name | Southeastern Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050415000720 |
| Entity Name | Emergency Coverage Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20100218000778 |
| Entity Name | Wake Forest Emergency Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John C Kish, PA 35 Facility Dr, Clyde, NC 28721-9438 Ph: (828) 452-8110 | Mr John C Kish, PA 35 Facility Drive, Medwest, Clyde, NC 28721 Ph: (828) 452-5042 |
Nicole Ashley Nielsen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 262 Leroy George Dr, Clyde, NC 28721 Phone: 828-456-7311 |
Ann Marie Skinner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 262 Leroy George Dr, Clyde, NC 28721 Phone: 828-452-8110 |
Tiffany Jenann Hallmark, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11 Falcon Crest Ln, Clyde, NC 28721 Phone: 828-565-0560 |
Brooklyn Marie Galyean, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 262 Leroy George Dr, Clyde, NC 28721 Phone: 828-452-8594 |
Jon Barkley Grady, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 262 Leroy George Dr, Suite M, Clyde, NC 28721 Phone: 828-452-8378 Fax: 828-452-8326 |
Veronica Dayton Romero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 127 Sunset Ridge Rd, Clyde, NC 28721 Phone: 284-528-5948 Fax: 828-452-8775 |
Maegan Coleen Weeks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 581 Leroy George Dr Ste 300, Clyde, NC 28721 Phone: 828-452-4131 |