| Mrs Lani Ellis, PA-C | |
|
584 Hospital Dr Ne Unit C, Bolivia, NC 28422 | |
| (910) 721-4100 | |
| (910) 721-4101 |
| Full Name | Mrs Lani Ellis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 584 Hospital Dr Ne Unit C, Bolivia, 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 |
|---|---|---|---|
| 1821490996 | NPI | - | NPPES |
| Entity Name | Coastal Horizons Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922022607 PECOS PAC ID: 9739267964 Enrollment ID: O20080429000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lani Ellis, PA-C 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 | Mrs Lani Ellis, PA-C 584 Hospital Dr Ne Unit C, Bolivia, NC 28422 Ph: (910) 721-4100 |
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 |
Mr. Sampson Ray Booth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4311 Old Ocean Hwy, Bolivia, NC 28422 Phone: 877-935-5255 |
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 |