| Tabitha Brook Staradumsky, PA-C | |
|
40 Ravenswood Rd, Hampstead, NC 28443-4022 | |
| (910) 772-6558 | |
| (910) 270-2290 |
| Full Name | Tabitha Brook Staradumsky |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 40 Ravenswood Rd, Hampstead, 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 |
|---|---|---|---|
| 1841730132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-07044 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wilmington Health Pllc | 6103722509 | 364 |
| Entity Name | Wilmington Health PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881632339 PECOS PAC ID: 6103722509 Enrollment ID: O20031208000800 |
| Entity Name | Fastmed PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629841788 PECOS PAC ID: 9830540558 Enrollment ID: O20240108000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Tabitha Brook Staradumsky, PA-C 202 Village Rd Ne, Leland, NC 28451-7414 Ph: (910) 371-3600 | Tabitha Brook Staradumsky, PA-C 40 Ravenswood Rd, Hampstead, NC 28443-4022 Ph: (910) 772-6558 |
Carrie Harrell Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15441 Us Highway 17 Ste 501, Hampstead, NC 28443 Phone: 910-685-7307 Fax: 910-685-7284 |
Jessica Canaan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 144 Merchants Cir, Hampstead, NC 28443 Phone: 910-803-0340 |
Lisa Kay Yocum, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22545b Hwy 17 North, Hampstead, NC 28443 Phone: 910-329-0300 Fax: 910-329-0307 |
James O Vaughn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14905 Us Highway 17 N, Hampstead, NC 28443 Phone: 910-270-0997 Fax: 910-270-0984 |
Joseph S Farmer Iv, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16150 Us Highway 17 N Ste C, Hampstead, NC 28443 Phone: 910-270-2515 |
Mr. Jennings Dewayne Lyons, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 Ravenswood Rd, Hampstead, NC 28443 Phone: 910-341-3300 Fax: 910-815-2882 |
Laura Kern, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 Ravenswood Rd, Hampstead, NC 28443 Phone: 910-772-6558 Fax: 910-270-2290 |