Mrs Sunny Bakalli Severance, FNP-C | |
951 Wendover Heights Dr, Shelby, NC 28150-3565 | |
(704) 487-4677 | |
(704) 481-8050 |
Full Name | Mrs Sunny Bakalli Severance |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 951 Wendover Heights Dr, Shelby, 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 |
---|---|---|---|
1073878252 | NPI | - | NPPES |
7006512 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5005686 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5005686 (North Carolina) | Primary |
Entity Name | Caromont Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
Entity Name | Carolina Caring Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801893151 PECOS PAC ID: 0941285712 Enrollment ID: O20040624000263 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
Entity Name | Nh-cl Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487276499 PECOS PAC ID: 6305262692 Enrollment ID: O20200818000206 |
Entity Name | Carolina Caring Serious Illness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083449680 PECOS PAC ID: 1052846516 Enrollment ID: O20241121001542 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sunny Bakalli Severance, FNP-C Po Box 470408, Charlotte, NC 28247-0408 Ph: () - | Mrs Sunny Bakalli Severance, FNP-C 951 Wendover Heights Dr, Shelby, NC 28150-3565 Ph: (704) 487-4677 |
Karen Smith, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 N Dekalb St, Shelby, NC 28150 Phone: 980-487-2100 | |
Mrs. Betty C Morehead, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482 Fax: 704-482-0811 | |
Gracie Pitchford Crowder, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 709 N Dekalb St, Shelby, NC 28150 Phone: 980-487-2100 | |
Mrs. Mary Catherine Mcdowell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482 Fax: 704-482-0811 | |
Brittany Blanton Dick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-2600 | |
Rebecca Mance Hill, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 E Dixon Blvd, Ste B, Shelby, NC 28152 Phone: 980-487-2900 |