| Mr Michael T Futrell, AGNP | |
|
Po Box 187, Faison, NC 28341-0187 | |
| (910) 267-0421 | |
| (910) 378-1746 |
| Full Name | Mr Michael T Futrell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | Po Box 187, Faison, 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 |
|---|---|---|---|
| 1497328140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 5016060 (North Carolina) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | AG07210139 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goshen Medical Center, Incorporated | 3173434479 | 79 |
| Entity Name | Goshen Medical Center, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962124974 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael T Futrell, AGNP Po Box 187, Faison, NC 28341-0187 Ph: (910) 267-0421 | Mr Michael T Futrell, AGNP Po Box 187, Faison, NC 28341-0187 Ph: (910) 267-0421 |
Sandra L. Krantz, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Sw Center Sreet, Faison, NC 28341 Phone: 910-267-0421 Fax: 910-267-0441 | |
Sharon R Smith, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 444 Sw Center St, Faison, NC 28341 Phone: 910-267-8681 Fax: 910-267-0441 | |
Mrs. Aixa Nieves Kimes, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Sw Center St, Faison, NC 28341 Phone: 910-267-0421 Fax: 910-378-1746 | |
Ms. Alice Petersen, MSN, FNP-C, CCRA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 444 Sw Center St, Faison, NC 28341 Phone: 910-267-0421 Fax: 910-267-8989 |