| Mrs Heather Lyles Goldfuss, PA-C | |
|
4700 E Oak Island Dr, Oak Island, NC 28465-5257 | |
| (910) 278-6416 | |
| (855) 763-1167 |
| Full Name | Mrs Heather Lyles Goldfuss |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 4700 E Oak Island Dr, Oak Island, 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 |
|---|---|---|---|
| 1063575249 | NPI | - | NPPES |
| 1063575249 | Other | NC | NPI 1063575249 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0010-01344 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Quickcare Family Practice, Pllc | 0840682340 | 107 |
| Entity Name | Carolina Quickcare Family Practice, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881360899 PECOS PAC ID: 0840682340 Enrollment ID: O20220113000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heather Lyles Goldfuss, PA-C 924 N Howe St, Southport, NC 28461-3038 Ph: (910) 457-3800 | Mrs Heather Lyles Goldfuss, PA-C 4700 E Oak Island Dr, Oak Island, NC 28465-5257 Ph: (910) 278-6416 |
Kelsey Eaves Rivenburgh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 117 Ne 51st St, Oak Island, NC 28465 Phone: 910-777-4207 |
Brian James Monroe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2950 Pine Plantation Pkwy, Oak Island, NC 28461 Phone: 910-454-4032 Fax: 910-454-4033 |