| Mrs Lecia Wooten Reardon, NP | |
|
340 Seminary St, Kenansville, NC 28349-8978 | |
| (910) 296-2130 | |
| (910) 296-0252 |
| Full Name | Mrs Lecia Wooten Reardon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 340 Seminary St, Kenansville, North Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639226418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 201848 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201848 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Wholehealth Pllc | 6002169539 | 309 |
| Entity Name | Duplin General Hospital Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942478383 PECOS PAC ID: 4587575337 Enrollment ID: O20040127000217 |
| Entity Name | County Of Duplin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235198177 PECOS PAC ID: 1456341536 Enrollment ID: O20040512001545 |
| Entity Name | Eventus Wholehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
| Entity Name | Eventus Value Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013680503 PECOS PAC ID: 1254736986 Enrollment ID: O20210818003793 |
| Entity Name | Eventus Wh Southeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487494811 PECOS PAC ID: 5496294456 Enrollment ID: O20240822002165 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lecia Wooten Reardon, NP 340 Seminary St, Kenansville, NC 28349-8978 Ph: (910) 296-2130 | Mrs Lecia Wooten Reardon, NP 340 Seminary St, Kenansville, NC 28349-8978 Ph: (910) 296-2130 |
John Adam Lanier, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Kenansville, NC 28349 Phone: 910-296-0941 | |
Felice Noel Carlton, DNP, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 Seminary St, Kenansville, NC 28349 Phone: 910-296-2130 Fax: 910-296-0252 | |
Isai Cruz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Beasley St, Kenansville, NC 28349 Phone: 540-769-3964 Fax: 540-473-3458 | |
Dr. Susan Elizabeth Fawcett, DNP, APRN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 144 Liberty Square Shopping Center, Kenansville, NC 28349 Phone: 910-275-0060 | |
Mrs. Brittany Mobley Rich, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 North Main Street, Kenansville, NC 28349 Phone: 910-296-2790 | |
Mrs. Veronica Frederick Stevens, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Seminary Street, Kenansville, NC 28349 Phone: 910-296-2130 |