| Noli Punzalan, | |
|
2153 Valleygate Dr Ste 102, Fayetteville, NC 28304-3667 | |
| (910) 321-7246 | |
| Not Available |
| Full Name | Noli Punzalan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 2153 Valleygate Dr Ste 102, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023597697 | NPI | - | NPPES |
| PENDING | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5010836 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Interventional Pain Center Pllc | 9537071238 | 9 |
| Entity Name | Interventional Pain Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558428789 PECOS PAC ID: 9537071238 Enrollment ID: O20031103000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Noli Punzalan, 2153 Valleygate Dr Ste 102, Fayetteville, NC 28304-3667 Ph: (910) 321-7246 | Noli Punzalan, 2153 Valleygate Dr Ste 102, Fayetteville, NC 28304-3667 Ph: (910) 321-7246 |
Heather Mcphail Coaxum, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5680 | |
Wendy Lynn Brock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5490 | |
Christine Elizabeth Arnold-recca, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6415 Brookstone Ln Ste 101, Fayetteville, NC 28314 Phone: 910-306-5437 | |
Dr. Adrian Nicole Lennon, PSYCHIATRIC NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6977 Nexus Ct Ste 102, Fayetteville, NC 28304 Phone: 910-672-6432 Fax: 910-745-7907 | |
Shelley Barry Follett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304 Phone: 910-323-1322 | |
Cheryl Nicole Fisher, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-4000 | |
Demetria Ward-richardson, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 |