Careconnectmd North Carolina P.c. - Medicare Primary Care in Durham, NC

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Careconnectmd North Carolina P.c. is a medicare enrolled primary clinic (General Practice) in Durham, North Carolina. The current practice location for Careconnectmd North Carolina P.c. is 555 S Mangum St Ste 100, Durham, North Carolina. For appointments, you can reach them via phone at (888) 789-9585. The mailing address for Careconnectmd North Carolina P.c. is 3090 Bristol St Ste 200, Costa Mesa, California and phone number is (888) 789-9585.

Careconnectmd North Carolina P.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104507441. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (888) 789-9585.

Contact Information

Careconnectmd North Carolina P.c.
555 S Mangum St Ste 100
Durham
NC 27701-4689
(888) 789-9585
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCareconnectmd North Carolina P.c.
SpecialityGeneral Practice
Location555 S Mangum St Ste 100, Durham, North Carolina
Authorized Official Name and PositionZahrah Shariff (OWNER)
Authorized Official Contact8887899585
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Careconnectmd North Carolina P.c.
3090 Bristol St Ste 200
Costa Mesa
CA 92626-3061

Ph: (888) 789-9585		Careconnectmd North Carolina P.c.
555 S Mangum St Ste 100
Durham
NC 27701-4689

Ph: (888) 789-9585

NPI Details:

NPI Number1104507441
Provider Enumeration Date07/28/2023
Last Update Date07/28/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3971965898
Medicare Enrollment IDO20230809002596

Medical Identifiers

Medical identifiers for Careconnectmd North Carolina P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104507441NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Careconnectmd North Carolina P.c. acts as a billing entity for following providers:
Provider NameStephanie Gould Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831172030
PECOS PAC ID: 7113822875
Enrollment ID: I20031204001110
Provider NameMelissa M Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285783415
PECOS PAC ID: 7810896891
Enrollment ID: I20040108000350
Provider NameKevin Richard Clark
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053373399
PECOS PAC ID: 5799735445
Enrollment ID: I20050131000236
Provider NameLisa M Caporossi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407969694
PECOS PAC ID: 6709832280
Enrollment ID: I20050328000934
Provider NameJohn D Nelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528047248
PECOS PAC ID: 1456249374
Enrollment ID: I20050401000627
Provider NameJohn Steven Corder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154300820
PECOS PAC ID: 0941257984
Enrollment ID: I20050401000639
Provider NameEdward Thurman Plyler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316988058
PECOS PAC ID: 9335193242
Enrollment ID: I20100722000585
Provider NameJudith Harris Coleman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336479815
PECOS PAC ID: 0840471207
Enrollment ID: I20110218000410
Provider NameSunshine Marie Coffey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992046833
PECOS PAC ID: 0143466193
Enrollment ID: I20130417000193
Provider NameKadye Barker Mccaslin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750634408
PECOS PAC ID: 1153557699
Enrollment ID: I20131112000312
Provider NamePriscilla Deon Kopper Duckworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922410414
PECOS PAC ID: 5294952065
Enrollment ID: I20140819001375
Provider NameAminu Isyaku Mohammed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205271145
PECOS PAC ID: 6406098599
Enrollment ID: I20140903001211
Provider NameJames Walter Goforth
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811945470
PECOS PAC ID: 9638320617
Enrollment ID: I20141103001566
Provider NameWendy Brown Moose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386044501
PECOS PAC ID: 9335361146
Enrollment ID: I20141111002552
Provider NameDenise W Stiles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033584750
PECOS PAC ID: 7012213994
Enrollment ID: I20160303001127
Provider NameRonald Andrew Noe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710320122
PECOS PAC ID: 5991020265
Enrollment ID: I20161012000922
Provider NameMykah Payne Wike
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821538893
PECOS PAC ID: 2769768357
Enrollment ID: I20170413002215
Provider NameAmanda Ruth Lanier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952836405
PECOS PAC ID: 5496028284
Enrollment ID: I20170830000012
Provider NameJoel Mitchell Blass
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154429850
PECOS PAC ID: 1850292475
Enrollment ID: I20171010000008
Provider NameJudy Porter Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619441284
PECOS PAC ID: 5890036412
Enrollment ID: I20190409001969
Provider NameNeenah Vaughn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639735277
PECOS PAC ID: 5991039695
Enrollment ID: I20190701000953
Provider NameHeather Taylor Lackey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023673993
PECOS PAC ID: 7719216456
Enrollment ID: I20190905003359
Provider NameChrystal D Gammon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073165148
PECOS PAC ID: 2365876729
Enrollment ID: I20191218002271
Provider NameDewey Todd Detar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750499604
PECOS PAC ID: 6305872029
Enrollment ID: I20200603002456
Provider NameZahra Shariff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538260492
PECOS PAC ID: 8527084128
Enrollment ID: I20201116000301
Provider NameSharon Alene Welborn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023614906
PECOS PAC ID: 9638583115
Enrollment ID: I20210123000161
Provider NameAngela Nicole Coffey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790458875
PECOS PAC ID: 4688072788
Enrollment ID: I20211004002080
Provider NameAnn L Kirkpatrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679947527
PECOS PAC ID: 0547564585
Enrollment ID: I20220404001760
Provider NameMichael Edwin Tipton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316677982
PECOS PAC ID: 8022498997
Enrollment ID: I20220708003202
Provider NameShenika Lenette Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427706597
PECOS PAC ID: 7618351313
Enrollment ID: I20220830001475

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.