Kintegra Family Medicine - 3rd Ave is a medicare enrolled "Clinic/center - Federally Qualified Health Center (fqhc)" provider in Gastonia, North Carolina. Their current practice location is
111 E 3rd Ave, Gastonia, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(704) 874-3300.
Kintegra Family Medicine - 3rd Ave is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Kintegra Family Medicine - 3rd Ave
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1548389125.
Healthcare Provider's Profile
| Full Name | Kintegra Family Medicine - 3rd Ave |
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| Type | Facility |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 111 E 3rd Ave, Gastonia, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548389125
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 01/22/2026
Medicare PECOS Information:
- PECOS PAC ID: 5496733925
- Enrollment ID: O20080528000103
Medical Identifiers
Medical identifiers for Kintegra Family Medicine - 3rd Ave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548389125 | NPI | - | NPPES |
| 34D1048048 | Other | NC | CLIA WAIVER |
| 0136X | Other | NC | BLUE CROSS NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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. Kintegra Family Medicine - 3rd Ave 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 |
|---|
Kintegra Family Medicine - 3rd Ave
200 E 2nd Ave,
Gastonia, NC 28052-4358
Ph: (704) 871-1904 | Kintegra Family Medicine - 3rd Ave
111 E 3rd Ave,
Gastonia, NC 28052-4343
Ph: (704) 874-3300 |
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