| Tina Jean Bumgarner, ANP C | |
|
75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467-2498 | |
| (910) 579-8363 | |
| (910) 579-8306 |
| Full Name | Tina Jean Bumgarner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 75 Emerson Bay Rd Ste 102, Carolina Shores, 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 |
|---|---|---|---|
| 1598932683 | NPI | - | NPPES |
| 7902054 | Medicaid | NC | |
| NCF599B | Other | NC | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5003968 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sovah Health Danville | Danville, VA | Hospital |
| Novant Health Brunswick Medical Center | Supply, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Martinsville Physician Practices Llc | 0143233346 | 29 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Jean Bumgarner, ANP C Po Box 936857, Atlanta, GA 31193-6857 Ph: (910) 579-8363 | Tina Jean Bumgarner, ANP C 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467-2498 Ph: (910) 579-8363 |
Ross Alden Lippard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467 Phone: 910-579-8363 Fax: 910-579-8306 | |
Ms. Natalie Yount, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467 Phone: 910-579-8363 Fax: 910-579-8306 | |
Judith M Heintz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467 Phone: 910-579-8363 Fax: 910-579-8306 | |
Amanda Elise Carter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Emerson Bay Rd, Carolina Shores, NC 28467 Phone: 910-579-8363 | |
Mrs. Barbara Annette Wickham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467 Phone: 910-579-8363 Fax: 910-579-8306 | |
Ashlee Pinion-raby, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467 Phone: 910-579-8363 |