| Theresa M Micke, PA-C | |
|
3333 Nc Highway 242 N, Benson, NC 27504-7844 | |
| (919) 894-2011 | |
| (919) 894-7645 |
| Full Name | Theresa M Micke |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3333 Nc Highway 242 N, Benson, 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 |
|---|---|---|---|
| 1033469531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-04279 (North Carolina) | Primary |
| Entity Name | Aspirus Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003021452 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| Entity Name | Aspirus Wausau Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
| Entity Name | Human Services Board Serving North Central Health Care Facility |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205944543 PECOS PAC ID: 4385617786 Enrollment ID: O20040813001207 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa M Micke, PA-C Po Box 399, Benson, NC 27504-0399 Ph: (919) 894-2011 | Theresa M Micke, PA-C 3333 Nc Highway 242 N, Benson, NC 27504-7844 Ph: (919) 894-2011 |
Grayson Massey Gravely, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Dr, Benson, NC 27504 Phone: 919-894-1740 Fax: 919-894-2701 |
Elizabeth Esmeralda Perez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 70 Crepe Myrtle Drive Suite 104, Benson, NC 27504 Phone: 704-930-5638 |
Ms. Laraine Reibson Bowen, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: One Medical Drive, Benson, NC 27504 Phone: 919-894-1740 Fax: 919-894-2701 |
Brenda Jean Justice, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 125 E Main St, Benson, NC 27504 Phone: 919-894-3321 Fax: 919-894-8742 |
Mrs. April G Pope, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3333 Nc Highway 242 N, Benson, NC 27504 Phone: 919-894-2011 |
Susan G Edwards, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3333 Nc Highway 242 N, Benson, NC 27504 Phone: 919-894-2011 Fax: 919-894-7645 |
Anita Podasaini Kafle, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13440 Nc-210 Hwy, Benson, NC 27504 Phone: 866-389-2727 |