| Blue Ridge Medical Center-yancey Campus | |
|
800 Medical Campus Dr Burnsville NC 28714-9010 | |
| (828) 682-0200 | |
| (828) 682-6858 |
| Full Name | Blue Ridge Medical Center-yancey Campus |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Medical Campus Dr, Burnsville, North Carolina |
| Authorized Official Name and Position | Clint Stewart (REGIONAL DIRECTOR) |
| Authorized Official Contact | 8286595196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Medical Center-yancey Campus Po Box 602373 Charlotte NC 28260-2373 Ph: (828) 213-1500 | Blue Ridge Medical Center-yancey Campus 800 Medical Campus Dr Burnsville NC 28714-9010 Ph: (828) 682-0200 |
| NPI Number | 1447261698 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 12/05/2016 |
| Medicare PECOS PAC ID | 0648181966 |
|---|---|
| Medicare Enrollment ID | O20040729001574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447261698 | NPI | - | NPPES |
| 343427 | Medicaid | NC | |
| 018NT | Other | NC | BCBSNC |
| Provider Name | Wieslawa A Pekal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508856436 PECOS PAC ID: 0042100448 Enrollment ID: I20040318001074 |
| Provider Name | Michael B Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922077940 PECOS PAC ID: 7719879402 Enrollment ID: I20040327000218 |
| Provider Name | William R Shillinglaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093780009 PECOS PAC ID: 5193716751 Enrollment ID: I20040521000487 |
| Provider Name | James William Earnhardt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992756019 PECOS PAC ID: 3779569991 Enrollment ID: I20040628001383 |
| Provider Name | Mohan Chand Thakuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568446870 PECOS PAC ID: 1153393558 Enrollment ID: I20040806000838 |
| Provider Name | Mridu Sharma Chand |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851377196 PECOS PAC ID: 9234103854 Enrollment ID: I20040820000359 |
| Provider Name | Rachel D Keever |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659383115 PECOS PAC ID: 7810963279 Enrollment ID: I20040907001141 |
| Provider Name | Brad A Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174503635 PECOS PAC ID: 8527055409 Enrollment ID: I20040930000700 |
| Provider Name | Edward A Lewis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043233299 PECOS PAC ID: 4587626775 Enrollment ID: I20041030000100 |
| Provider Name | James A Haaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639130982 PECOS PAC ID: 2466499470 Enrollment ID: I20050412000346 |
| Provider Name | Rhoda B Brosnan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295737203 PECOS PAC ID: 0244274454 Enrollment ID: I20050617000256 |
| Provider Name | Joyce B Thisse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578538328 PECOS PAC ID: 3577584499 Enrollment ID: I20051207000692 |
| Provider Name | Chang S Lim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124024112 PECOS PAC ID: 1456365139 Enrollment ID: I20060201000906 |
| Provider Name | Brian H Asbill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730185729 PECOS PAC ID: 3678587367 Enrollment ID: I20060202000020 |
| Provider Name | Oscar R Jenkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598761603 PECOS PAC ID: 8729092416 Enrollment ID: I20060202000052 |
| Provider Name | William T Maddox |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457358178 PECOS PAC ID: 5092729780 Enrollment ID: I20060202000053 |
| Provider Name | Charles Gibbs Vasey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487651535 PECOS PAC ID: 5799799417 Enrollment ID: I20060202000274 |
| Provider Name | William D Kuehl |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427054527 PECOS PAC ID: 7113931783 Enrollment ID: I20060202000745 |
| Provider Name | David H Serfas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477550507 PECOS PAC ID: 5698789287 Enrollment ID: I20060202000892 |
| Provider Name | Joseph J Souza |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336145457 PECOS PAC ID: 4880608496 Enrollment ID: I20060203000065 |
| Provider Name | William Wyant Wharton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326044454 PECOS PAC ID: 8123032737 Enrollment ID: I20060203000088 |
| Provider Name | Charles W Bryan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831189877 PECOS PAC ID: 1951312784 Enrollment ID: I20060509000065 |
| Provider Name | Eric Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780626937 PECOS PAC ID: 0143288985 Enrollment ID: I20061213000480 |
| Provider Name | Stephen William North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073611091 PECOS PAC ID: 3476527300 Enrollment ID: I20070209000440 |
| Provider Name | Jennifer E Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306903885 PECOS PAC ID: 5193760833 Enrollment ID: I20070312000363 |
| Provider Name | Michael D Stribling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881761146 PECOS PAC ID: 7214032275 Enrollment ID: I20070419000378 |
| Provider Name | Walton W Curl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679581946 PECOS PAC ID: 3375642259 Enrollment ID: I20070618000239 |
| Provider Name | Anne M Conquest |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154358083 PECOS PAC ID: 3870506660 Enrollment ID: I20070810000330 |
| Provider Name | Christopher H Chay |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699764878 PECOS PAC ID: 4385724889 Enrollment ID: I20080109000890 |
| Provider Name | Shannon Brown Dowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093852444 PECOS PAC ID: 9234210691 Enrollment ID: I20080111000378 |
| Provider Name | William John Horan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801880687 PECOS PAC ID: 0648379255 Enrollment ID: I20080222000117 |
| Provider Name | Nisha N Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609859578 PECOS PAC ID: 1951480631 Enrollment ID: I20080506000762 |
| Provider Name | Debra M Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285802488 PECOS PAC ID: 2365511433 Enrollment ID: I20080515000047 |
| Provider Name | Rachel Elizabeth Raab |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619195294 PECOS PAC ID: 3375611288 Enrollment ID: I20081006000233 |
| Provider Name | Jill Michelle Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023097516 PECOS PAC ID: 5991723728 Enrollment ID: I20081106000770 |
| Provider Name | Donna J Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730344458 PECOS PAC ID: 8325109739 Enrollment ID: I20081203000920 |
| Provider Name | Dorothy J Bobbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629086368 PECOS PAC ID: 6709941438 Enrollment ID: I20090212000713 |
| Provider Name | Dale James Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407097520 PECOS PAC ID: 0042360943 Enrollment ID: I20090616000229 |
| Provider Name | Karl R Speers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528000684 PECOS PAC ID: 3072667427 Enrollment ID: I20090819000381 |
| Provider Name | Jan Matti Pattanayak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699860338 PECOS PAC ID: 3375523921 Enrollment ID: I20090822000148 |
| Provider Name | Matthew Peyton Smelley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083856611 PECOS PAC ID: 2466506647 Enrollment ID: I20090822000152 |
| Provider Name | Gregory Andrew Pollack |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346428158 PECOS PAC ID: 3678628450 Enrollment ID: I20090831000307 |
| Provider Name | Michael J Messino |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699765529 PECOS PAC ID: 1759435498 Enrollment ID: I20090901000606 |
| Provider Name | Shantae L Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063402998 PECOS PAC ID: 0840344586 Enrollment ID: I20090901000710 |
| Provider Name | Tena W Messer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023194198 PECOS PAC ID: 5395891485 Enrollment ID: I20090915000105 |
| Provider Name | Daniel Spurgeon Hey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285667790 PECOS PAC ID: 1557343001 Enrollment ID: I20100420000562 |
| Provider Name | Terri M Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457351462 PECOS PAC ID: 3577509918 Enrollment ID: I20100422001118 |
| Provider Name | Carolyn J Teeple Pauly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780872515 PECOS PAC ID: 5496845588 Enrollment ID: I20100708000427 |
| Provider Name | Austin K Letson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952354953 PECOS PAC ID: 5597897835 Enrollment ID: I20100721000875 |
| Provider Name | Darren Patrick Bryant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003873993 PECOS PAC ID: 0345226353 Enrollment ID: I20100902000783 |
| Provider Name | Megan Ann Scarborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396047387 PECOS PAC ID: 1850580317 Enrollment ID: I20110113001211 |
| Provider Name | Alison B Christopher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699089615 PECOS PAC ID: 1153501440 Enrollment ID: I20110203000263 |
| Provider Name | Margaret H Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619209459 PECOS PAC ID: 8426236951 Enrollment ID: I20110701000117 |
| Provider Name | Daniel W Mclaughlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760621114 PECOS PAC ID: 3678745346 Enrollment ID: I20111003000293 |
| Provider Name | Lee J Rule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275826646 PECOS PAC ID: 0446422927 Enrollment ID: I20111005000128 |
| Provider Name | Beth E Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841526910 PECOS PAC ID: 1153589585 Enrollment ID: I20120215000013 |
| Provider Name | Amanda Brook Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609164193 PECOS PAC ID: 5395914006 Enrollment ID: I20120419000061 |
| Provider Name | Matthew D Young |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508817362 PECOS PAC ID: 2961415054 Enrollment ID: I20120726000397 |
| Provider Name | Javid Mu'az Baksh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1447413190 PECOS PAC ID: 4688820640 Enrollment ID: I20120807000174 |
| Provider Name | Rosemary Chickos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619152808 PECOS PAC ID: 6507012424 Enrollment ID: I20120808000997 |
| Provider Name | Joshua Patrick Leitner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992729388 PECOS PAC ID: 2365446820 Enrollment ID: I20120918000012 |
| Provider Name | Charles Benny Lovelady |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669496626 PECOS PAC ID: 2567472129 Enrollment ID: I20130220000249 |
| Provider Name | David George Vandewyngaerde |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528065919 PECOS PAC ID: 3072408459 Enrollment ID: I20130329000164 |
| Provider Name | John Ralph Montz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336157502 PECOS PAC ID: 7113936089 Enrollment ID: I20130611000247 |
| Provider Name | Amy Howard Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336137652 PECOS PAC ID: 5496758807 Enrollment ID: I20130614000435 |
| Provider Name | Martin Palmeri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811005374 PECOS PAC ID: 8022119098 Enrollment ID: I20130925000220 |
| Provider Name | Richard J Massen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356370894 PECOS PAC ID: 8628970183 Enrollment ID: I20131022001179 |
| Provider Name | Kimberly A Grugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043334667 PECOS PAC ID: 7315176252 Enrollment ID: I20140218002116 |
| Provider Name | Hope Sherie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902888977 PECOS PAC ID: 4284792367 Enrollment ID: I20140417001582 |
| Provider Name | Alex K Chappelear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316170830 PECOS PAC ID: 6709054844 Enrollment ID: I20140605001587 |
| Provider Name | Trevor C Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659509644 PECOS PAC ID: 7416174925 Enrollment ID: I20140806002662 |
| Provider Name | Julie D Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487060620 PECOS PAC ID: 5799903787 Enrollment ID: I20140904002352 |
| Provider Name | Maria Grace Oldre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316368640 PECOS PAC ID: 9638397581 Enrollment ID: I20140905002007 |
| Provider Name | Allison Lou Sharp |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1821385659 PECOS PAC ID: 1951624931 Enrollment ID: I20141223002022 |
| Provider Name | Suzanne Henry Turner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356312847 PECOS PAC ID: 8729011440 Enrollment ID: I20150102001663 |
| Provider Name | Mary Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376933531 PECOS PAC ID: 2062730443 Enrollment ID: I20150415000729 |
| Provider Name | Lynn Jackson Howie |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730315102 PECOS PAC ID: 3870804313 Enrollment ID: I20150624001831 |
| Provider Name | Kimberly Marie Harkness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033393665 PECOS PAC ID: 2769794007 Enrollment ID: I20150630000583 |
| Provider Name | Johnathan B Davidson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609038843 PECOS PAC ID: 3375711963 Enrollment ID: I20150806010776 |
| Provider Name | Sarah Alexander Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285018879 PECOS PAC ID: 9638486566 Enrollment ID: I20150909002995 |
| Provider Name | John D Rhyner |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104089002 PECOS PAC ID: 9234446659 Enrollment ID: I20150917001818 |
| Provider Name | Lillia Theresa Laplace |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447244876 PECOS PAC ID: 8729269519 Enrollment ID: I20151027002658 |
| Provider Name | Travis M Hecker |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1699979518 PECOS PAC ID: 1658520911 Enrollment ID: I20151029002984 |
| Provider Name | Jerome Guanciale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851355366 PECOS PAC ID: 5395705438 Enrollment ID: I20151203002990 |
| Provider Name | Kameo Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083645881 PECOS PAC ID: 7810968427 Enrollment ID: I20151228001580 |
| Provider Name | Lawrence Joseph Cull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225004633 PECOS PAC ID: 6608832746 Enrollment ID: I20151230001541 |
| Provider Name | Kimberly Gayle Szafran Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740662824 PECOS PAC ID: 0941507578 Enrollment ID: I20160328000717 |
| Provider Name | Kendra L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538526058 PECOS PAC ID: 8325345515 Enrollment ID: I20160404000642 |
| Provider Name | Michelle Buchanan Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033573506 PECOS PAC ID: 6002106762 Enrollment ID: I20160608001392 |
| Provider Name | Carl Mccord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104836022 PECOS PAC ID: 1254420995 Enrollment ID: I20160616001891 |
| Provider Name | David F Pope |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750304606 PECOS PAC ID: 3173556883 Enrollment ID: I20160621001604 |
| Provider Name | Susan Elizabeth Maclean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629043468 PECOS PAC ID: 0547445348 Enrollment ID: I20160805000038 |
| Provider Name | Ashley Procopio Helgeson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548496813 PECOS PAC ID: 7517195084 Enrollment ID: I20160826000583 |
| Provider Name | Kirstin James Rule |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871657023 PECOS PAC ID: 0749587301 Enrollment ID: I20161101001169 |
| Provider Name | Jill Shawn Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649229352 PECOS PAC ID: 3779520044 Enrollment ID: I20161102000380 |
| Provider Name | Rachel L Thelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477009223 PECOS PAC ID: 0446538052 Enrollment ID: I20161102002626 |
| Provider Name | Philip Arlis Neiheisel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366709545 PECOS PAC ID: 2567751175 Enrollment ID: I20161118000765 |
| Provider Name | Sarah Emily Ciccotto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063737518 PECOS PAC ID: 3577706324 Enrollment ID: I20161205001721 |
| Provider Name | Joshua S Baru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962571927 PECOS PAC ID: 3476657602 Enrollment ID: I20170109000349 |
| Provider Name | Michelle Rosemary Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467702167 PECOS PAC ID: 2163669839 Enrollment ID: I20170216001914 |
| Provider Name | Allison Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801205869 PECOS PAC ID: 7517242944 Enrollment ID: I20170327000029 |
| Provider Name | Kristin Michelle Brzycki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386012094 PECOS PAC ID: 7315223328 Enrollment ID: I20170405001913 |
| Provider Name | Charles Bradley Quillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093248718 PECOS PAC ID: 7012285919 Enrollment ID: I20170619000661 |
| Provider Name | Eric Ho Ki Yeung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972684298 PECOS PAC ID: 9335417823 Enrollment ID: I20170626001869 |
| Provider Name | Michael Stephen Chenier |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902049794 PECOS PAC ID: 0547575243 Enrollment ID: I20170718002452 |
| Provider Name | Yaron Fridman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861621732 PECOS PAC ID: 9739335860 Enrollment ID: I20170724003658 |
| Provider Name | Lavone Smith |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1710256094 PECOS PAC ID: 1850556044 Enrollment ID: I20170726000533 |
| Provider Name | Ellen Leigh Hearty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114365749 PECOS PAC ID: 4789974981 Enrollment ID: I20170728001682 |
| Provider Name | Hiromi Rosselli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174813489 PECOS PAC ID: 3274839048 Enrollment ID: I20170804001930 |
| Provider Name | Sean Michael Warsch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750608246 PECOS PAC ID: 7719279876 Enrollment ID: I20170822000458 |
| Provider Name | Jason Michael Lappe |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457594301 PECOS PAC ID: 6901126242 Enrollment ID: I20170911000011 |
| Provider Name | Sarah Jane Schopbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326209933 PECOS PAC ID: 5890009260 Enrollment ID: I20171002000036 |
| Provider Name | Kaitlyn Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081154 PECOS PAC ID: 3375818776 Enrollment ID: I20171011002469 |
| Provider Name | Katherine Hall Kruppenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518485333 PECOS PAC ID: 6709152929 Enrollment ID: I20171016002262 |
| Provider Name | Katherine Ann Reese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740218858 PECOS PAC ID: 6103096003 Enrollment ID: I20171031002552 |
| Provider Name | Eric Thomas Roslonski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730147273 PECOS PAC ID: 2860404852 Enrollment ID: I20171115003415 |
| Provider Name | Sherrie Ann Lalande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033413877 PECOS PAC ID: 2466635933 Enrollment ID: I20171120000736 |
| Provider Name | Stephanie Gregg Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407399306 PECOS PAC ID: 1850650821 Enrollment ID: I20180119001480 |
| Provider Name | Bryan Jeffrey Pace |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023250396 PECOS PAC ID: 0042521312 Enrollment ID: I20180321002198 |
| Provider Name | Ashley Silvers Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841702040 PECOS PAC ID: 4385907120 Enrollment ID: I20180410000501 |
| Provider Name | Darus Clyde Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649770751 PECOS PAC ID: 3779847207 Enrollment ID: I20180508002119 |
| Provider Name | Grace C Rice |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922526052 PECOS PAC ID: 8628323540 Enrollment ID: I20180618002958 |
| Provider Name | Stephen David Kimmel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467847160 PECOS PAC ID: 1658661046 Enrollment ID: I20180821002093 |
| Provider Name | Brett Anthony Izzo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417210048 PECOS PAC ID: 1355635251 Enrollment ID: I20180823000122 |
| Provider Name | Andrew R Beardsley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881855948 PECOS PAC ID: 7810240850 Enrollment ID: I20181022001928 |
| Provider Name | Destiny Janell Cromer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437367133 PECOS PAC ID: 8426226754 Enrollment ID: I20190115001114 |
| Provider Name | Scott Lesle Willis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548306640 PECOS PAC ID: 5496063117 Enrollment ID: I20190130000411 |
Celo Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Seven Mile Ridge Rd, Burnsville, NC 28714 Phone: 828-675-4116 Fax: 828-675-9312 | |
Burnsville Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Academy St, Burnsville, NC 28714 Phone: 828-682-7333 Fax: 828-682-0392 | |
Cane River School Based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1128 Cane River School Rd, Burnsville, NC 28714 Phone: 828-688-2104 | |
East Yancey School Based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 285 Georges Fork Rd, Burnsville, NC 28714 Phone: 828-688-2104 | |
Still Waters Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 E Main St, Burnsville, NC 28714 Phone: 828-260-9082 | |
Ppadbvl Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 E Main St, Burnsville, NC 28714 Phone: 828-678-1121 Fax: 828-678-3945 |