| Mrs Brandi Selina Queen, FNP | |
|
520 W Main St, Marshville, NC 28103-1197 | |
| (704) 624-3388 | |
| (704) 624-3390 |
| Full Name | Mrs Brandi Selina Queen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 520 W Main St, Marshville, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558670604 | NPI | - | NPPES |
| 7005602 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5004900 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Charlotte, NC | Home health agency |
| Liberty Home Care Ii, Llc | Wadesboro, NC | Home health agency |
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Atrium Health Anson | Wadesboro, NC | Hospital |
| Atrium Health Union | Monroe, NC | Hospital |
| Novant Health Matthews Medical Center | Matthews, NC | Hospital |
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medical, P.a. | 7719204775 | 3 |
| Entity Name | Community Medical, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396935193 PECOS PAC ID: 7719204775 Enrollment ID: O20150401000048 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brandi Selina Queen, FNP 520 W Main St, Marshville, NC 28103-1197 Ph: (704) 624-3388 | Mrs Brandi Selina Queen, FNP 520 W Main St, Marshville, NC 28103-1197 Ph: (704) 624-3388 |
Tammy Lannette Myrick Carpenter, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 W Main St, Marshville, NC 28103 Phone: 704-624-3388 Fax: 704-624-3390 |