| Beach Medical PLLC | |
|
5200 N Croatan Hwy Ste 6 Kitty Hawk NC 27949-3990 | |
| (252) 261-4187 | |
| (833) 989-2346 |
| Full Name | Beach Medical PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 5200 N Croatan Hwy Ste 6, Kitty Hawk, North Carolina |
| Authorized Official Name and Position | Zoe C Sherman (MANAGER) |
| Authorized Official Contact | 2522078784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Medical PLLC Po Box 2287 Kitty Hawk NC 27949-2287 Ph: (252) 261-4187 | Beach Medical PLLC 5200 N Croatan Hwy Ste 6 Kitty Hawk NC 27949-3990 Ph: (252) 261-4187 |
| NPI Number | 1659941078 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Medicare PECOS PAC ID | 1658761408 |
|---|---|
| Medicare Enrollment ID | O20211209001284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659941078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 261QU0200X | Clinic/center - Urgent Care | () | Secondary |
| Provider Name | Carol a Pilote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982618955 PECOS PAC ID: 7517966773 Enrollment ID: I20061215000504 |
| Provider Name | Zoe C Sherman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730231267 PECOS PAC ID: 9335283241 Enrollment ID: I20100216000463 |
| Provider Name | Teresa D Wargovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225177488 PECOS PAC ID: 0749343606 Enrollment ID: I20140516002000 |
| Provider Name | Eric Robisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952888018 PECOS PAC ID: 5092057158 Enrollment ID: I20190719002204 |
| Provider Name | Leah H Woolridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275201741 PECOS PAC ID: 3577602739 Enrollment ID: I20211122002878 |
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