| Mrs Michele Mariano Lizano, FNP-C | |
|
167 Moore Rd Ste 206, King, NC 27021-8770 | |
| (336) 673-6450 | |
| (336) 673-6449 |
| Full Name | Mrs Michele Mariano Lizano |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 167 Moore Rd Ste 206, King, 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 |
|---|---|---|---|
| 1033518311 | NPI | - | NPPES |
| 5007101 | Other | NC | NORTH CAROLINA BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5007101 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5007101 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Drx High Point Pllc | 7113061730 | 29 |
| 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 |
| Entity Name | Carolina Medicorp Enterprises Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760950646 PECOS PAC ID: 0648174904 Enrollment ID: O20040110000190 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Entity Name | Drx High Point Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669701306 PECOS PAC ID: 7113061730 Enrollment ID: O20100220000328 |
| Entity Name | Express Care Of Yadkin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548651128 PECOS PAC ID: 2860704418 Enrollment ID: O20150709003078 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michele Mariano Lizano, FNP-C Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Mrs Michele Mariano Lizano, FNP-C 167 Moore Rd Ste 206, King, NC 27021-8770 Ph: (336) 673-6450 |
Mrs. Tiffany Shante Gibson, APRN,BC, MN, RNC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Moore Rd, King, NC 27021 Phone: 336-983-4346 | |
Stephanie Amber Freeman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 Scenic Dr, King, NC 27021 Phone: 336-985-0625 | |
Brittany Bell Everett, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Moore Rd, King, NC 27021 Phone: 336-983-4346 | |
Emily Marion Fischer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Moore Rd, King, NC 27021 Phone: 336-983-4346 | |
Jaden Moore Miethe, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Moore Rd Ste 201, King, NC 27021 Phone: 336-673-6470 Fax: 336-673-6489 | |
Caroline Yates Harbour, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Moore Rd Ste 201, King, NC 27021 Phone: 336-673-6470 Fax: 336-673-6489 |