| Kern Lee Barrow, PA | |
|
112 Medical Village Dr, Suite G, Wallace, NC 28466-1665 | |
| (910) 285-0333 | |
| (910) 285-0336 |
| Full Name | Kern Lee Barrow |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 112 Medical Village Dr, Wallace, 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 |
|---|---|---|---|
| 1295737963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 102509 (North Carolina) | Primary |
| 363AM0700X | Physician Assistant - Medical | 102509 (North Carolina) | Secondary |
| Entity Name | Masonboro Urgent Care, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427389865 PECOS PAC ID: 9638206287 Enrollment ID: O20100429001183 |
| Mailing Address | Practice Location Address |
|---|---|
| Kern Lee Barrow, PA Po Box 602484, Charlotte, NC 28260-2484 Ph: (910) 285-0333 | Kern Lee Barrow, PA 112 Medical Village Dr, Suite G, Wallace, NC 28466-1665 Ph: (910) 285-0333 |
Carrie Kyper Royer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 River Vine Pkwy, Wallace, NC 28466 Phone: 910-285-2134 Fax: 910-285-4610 |
Lori Hartley, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 120 Medical Village Dr, Wallace, NC 28466 Phone: 910-285-2330 |
Samuel H Weatherford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Medical Village Dr Ste F, Wallace, NC 28466 Phone: 910-285-0940 Fax: 910-285-1825 |
Ketoyia Newkirk, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 Eastwood Dr, Wallace, NC 28466 Phone: 910-285-2330 |
Charles Edward Walton Ii, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 102 W Main St, Wallace, NC 28466 Phone: 910-788-4242 Fax: 910-809-4641 |