| Mrs Heather Dana Yates-davis, PA-C | |
|
110 W Medical Park Dr, Lexington, NC 27292-6773 | |
| (336) 248-8692 | |
| (336) 249-7348 |
| Full Name | Mrs Heather Dana Yates-davis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 110 W Medical Park Dr, Lexington, 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 |
|---|---|---|---|
| 1811964398 | NPI | - | NPPES |
| 8101707 | Medicaid | NC | |
| 103128 | Other | NC | NC MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 103128 (North Carolina) | Primary |
| 207Q00000X | Family Medicine | 103128 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Well Care Home Health Of The Triad Inc | Advance, NC | Home health agency |
| Hospice Of Davidson County/ Hinkle Hospice House | Lexington, NC | Hospice |
| Lexington Memorial Hospital Inc | Lexington, NC | Hospital |
| Novant Health Thomasville Medical Center | Thomasville, NC | Hospital |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2413 |
| Entity Name | Novant Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heather Dana Yates-davis, PA-C Po Box 60447, Charlotte, NC 28260-0447 Ph: Not Available | Mrs Heather Dana Yates-davis, PA-C 110 W Medical Park Dr, Lexington, NC 27292-6773 Ph: (336) 248-8692 |
Mallory Alexa Choplin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 W Medical Park Dr, Lexington, NC 27292 Phone: 336-249-4911 |
Kaitlin Frankie Hoover Williamson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 W Medical Park Dr, Lexington, NC 27292 Phone: 336-248-8692 Fax: 336-249-7348 |
Mary Emerson Hayes, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 915 N Greensboro St, Lexington, NC 27292 Phone: 336-242-2300 |
Kaitlin Samantha Jenkins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Dr, Lexington, NC 27292 Phone: 336-248-5161 Fax: 336-716-5438 |
Jason S. Romblad, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Emergency Dr, Lexington, NC 27292 Phone: 336-249-2978 Fax: 336-249-6748 |
Mrs. Ruffin Smith Morgan, PHYSICIANS ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 102 West Medical Park Drive, Lexington, NC 27292 Phone: 336-249-3329 Fax: 336-249-3795 |
Brianne Elizabeth Eva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Dr, Lexington, NC 27292 Phone: 336-248-5161 |