Savannah Kelly Poor, in Supply, NC - Medicare Physician Assistant

Savannah Kelly Poor, is a medicare enrolled "Physician Assistant" in Supply, North Carolina. Her current practice location is 6 Doctors Cir Ste 5, Supply, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 721-4370.

Savannah Kelly Poor is licensed to practice in North Carolina (license number 0010-13123) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760045272.

Contact Information

	Savannah Kelly Poor,
	6 Doctors Cir Ste 5, Supply, NC 28462-6358
	(910) 721-4370
	Not Available

Map and Direction

Provider's Profile

Full Name	Savannah Kelly Poor
Gender	Female
Speciality	Physician Assistant
Location	6 Doctors Cir Ste 5, Supply, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760045272
Provider Enumeration Date: 04/19/2019
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 7012348105
Enrollment ID: I20200505000850

Medical Identifiers

Medical identifiers for Savannah Kelly Poor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760045272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA9112197 (Florida)	Secondary
363A00000X	Physician Assistant	0010-13123 (North Carolina)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Savannah Kelly Poor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Savannah Kelly Poor, Po Box 60447, Charlotte, NC 28260-0447 Ph: (910) 721-4370	Savannah Kelly Poor, 6 Doctors Cir Ste 5, Supply, NC 28462-6358 Ph: (910) 721-4370

Reviews and Comments

Physician Assistant Nurses in Supply, NC

Ms. Meaghan Rae Scarlett, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 545 Ocean Hwy W, Supply, NC 28462 Phone: 910-253-3380 Fax: 910-338-3993
Devyn Lockley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 Doctors Cir, Supply, NC 28462 Phone: 910-721-4370
Amanda Evelyn Swiss, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6 Doctors Cir Ste 5, Supply, NC 28462 Phone: 910-721-4370
Jonathan Nicholas Desillier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 Doctors Cir Ste 5, Supply, NC 28462 Phone: 910-721-4370
Kirsten M Schneider, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 58 Physicians Dr Nw Ste 103, Supply, NC 28462 Phone: 910-794-5355
Kristen Leeann Canady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 610 Ocean Hwy W, Supply, NC 28462 Phone: 910-356-6100
Susan Dennie Gibble, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16 Medical Center Dr, Supply, NC 28462 Phone: 910-754-8921 Fax: 910-754-7140

Savannah Kelly Poor, - Medicare Physician Assistant in Supply, NC