Mrs Tammera L Park, PA-C | |
101 Wilkesboro St Ste B, Mocksville, NC 27028-2321 | |
(336) 753-0800 | |
(336) 753-0805 |
Full Name | Mrs Tammera L Park |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 101 Wilkesboro St Ste B, Mocksville, 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 |
---|---|---|---|
1598853129 | NPI | - | NPPES |
04020954 | Medicaid | CO | |
261227YLQP | Other | CO | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 2054 (Colorado) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Tammera L Park, PA-C Po Box 896199, Charlotte, NC 28289-6199 Ph: (833) 936-1364 | Mrs Tammera L Park, PA-C 101 Wilkesboro St Ste B, Mocksville, NC 27028-2321 Ph: (336) 753-0800 |
Jessica Eleanor Newman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 485 Valley Rd, Mocksville, NC 27028 Phone: 336-751-8000 Fax: 336-751-8010 | |
Alison L Mcneil, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1188 Yadkinville Rd, Mocksville, NC 27028 Phone: 336-716-7435 Fax: 336-702-9277 | |
Madison West, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1927 Junction Rd, Mocksville, NC 27028 Phone: 336-745-5448 | |
Ms. Tona F Cornatzer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 210 Hospital St, Mocksville, NC 27028 Phone: 336-753-6750 Fax: 336-753-1670 | |
Amy Alexander Woodfin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 375 Hospital St, Mocksville, NC 27028 Phone: 336-751-2121 Fax: 336-751-2123 | |
Breanna Blakley Walker, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 485 Valley Rd, Mocksville, NC 27028 Phone: 336-751-8000 Fax: 336-751-8010 |