| Appalachian Primary Care, PLLC | |
|
107 Haywood Park Dr Clyde NC 28721-4405 | |
| (828) 237-8001 | |
| (828) 237-8002 |
| Full Name | Appalachian Primary Care, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 107 Haywood Park Dr, Clyde, North Carolina |
| Authorized Official Name and Position | Travis M Hecker (OWNER/CEO) |
| Authorized Official Contact | 8282378001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Primary Care, PLLC 107 Haywood Park Dr Clyde NC 28721-4405 Ph: (828) 237-8001 | Appalachian Primary Care, PLLC 107 Haywood Park Dr Clyde NC 28721-4405 Ph: (828) 237-8001 |
| NPI Number | 1184349987 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/10/2022 |
| Certification Date | 10/10/2022 |
| Medicare PECOS PAC ID | 6204204944 |
|---|---|
| Medicare Enrollment ID | O20221130001269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184349987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| Provider Name | Glen Robert Liesegang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174584866 PECOS PAC ID: 8426181934 Enrollment ID: I20100804000973 |
| Provider Name | Travis M Hecker |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1699979518 PECOS PAC ID: 1658520911 Enrollment ID: I20151029002984 |
| Provider Name | Laurie Mclean Shirey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215489968 PECOS PAC ID: 7113201583 Enrollment ID: I20170302001360 |
| Provider Name | Kayla Gregg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649791914 PECOS PAC ID: 2163789330 Enrollment ID: I20171122002016 |
Wound Healing and Hyperbaric Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Hospital Dr, Clyde, NC 28721 Phone: 828-213-4600 |
Carolina Spine and Neurosurgery, a Department of Mission Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Hospital Dr Ste 103a, Clyde, NC 28721 Phone: 828-213-1137 |
Haywood Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 490 Hospital Dr, Clyde, NC 28721 Phone: 828-246-6372 Fax: 828-246-6371 |
Mission Weight Management Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Hospital Dr, Clyde, NC 28721 Phone: 828-213-4100 |
Haywood Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Physician Dr, Clyde, NC 28721 Phone: 828-456-9836 Fax: 828-452-9814 |
Mission Wound Healing Center, a Department of Mission Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Hospital Dr Ste 103b, Clyde, NC 28721 Phone: 828-213-1137 |