| Mrs Charlotte Harvey Weitz, PAC | |
|
107 S Wilmington St, Richlands, NC 28574-8298 | |
| (910) 324-7268 | |
| (910) 324-7273 |
| Full Name | Mrs Charlotte Harvey Weitz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 107 S Wilmington St, Richlands, 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 |
|---|---|---|---|
| 1841244589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001000003 (North Carolina) | Primary |
| 208000000X | Pediatrics | 001000003 (North Carolina) | Secondary |
| Entity Name | Jacksonville Children's and Multispecialty Clinic, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164519070 PECOS PAC ID: 6709968811 Enrollment ID: O20080129000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Charlotte Harvey Weitz, PAC Po Box 986513, Department 100, Boston, MA 02298-6513 Ph: (910) 219-8326 | Mrs Charlotte Harvey Weitz, PAC 107 S Wilmington St, Richlands, NC 28574-8298 Ph: (910) 324-7268 |
Mary E Bundle, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 S Wilmington St, Richlands, NC 28574 Phone: 910-324-7268 Fax: 910-324-7273 |
Amylee Brooks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 350 Wilmington St, Richlands, NC 28574 Phone: 019-324-3125 |