| Mr Sampson Ray Booth, PA-C | |
|
4311 Old Ocean Hwy, Bolivia, NC 28422-8637 | |
| (877) 935-5255 | |
| Not Available |
| Full Name | Mr Sampson Ray Booth |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 4311 Old Ocean Hwy, Bolivia, 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 |
|---|---|---|---|
| 1306721808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Brunswick Medical Center | Supply, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri County Community Health Council Inc | 2163409558 | 29 |
| Entity Name | Tri County Community Health Council Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427087709 PECOS PAC ID: 2163409558 Enrollment ID: O20040702000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Sampson Ray Booth, PA-C 4105 Ramseur Julian Rd, Liberty, NC 27298-8606 Ph: (336) 588-4262 | Mr Sampson Ray Booth, PA-C 4311 Old Ocean Hwy, Bolivia, NC 28422-8637 Ph: (877) 935-5255 |
Kelsey Ann Kramer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-921-2070 Fax: 910-721-2074 |
Zachary Davis Maier, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-1000 |
Joseph Henry Hobbs, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 843-497-5929 Fax: 843-839-4448 |
Mr. Michael D Watson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 113 Kite Cir Ne, Bolivia, NC 28422 Phone: 907-885-7779 |
Lisa K Paitsel, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-1000 |
Kimberly Mallick Fillman, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 843-497-5929 |
Sarah Hayden Delabastide, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-755-1474 |