| Chadbourn Family Practice Center Pa | |
|
104 E 7th Ave Chadbourn NC 28431-1402 | |
| (910) 654-3143 | |
| (910) 654-4144 |
| Full Name | Chadbourn Family Practice Center Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 E 7th Ave, Chadbourn, North Carolina |
| Authorized Official Name and Position | Dollie Elkins (PRACTICE MANAGER) |
| Authorized Official Contact | 9106543143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chadbourn Family Practice Center Pa 104 E 7th Ave Chadbourn NC 28431-1402 Ph: (910) 654-3143 | Chadbourn Family Practice Center Pa 104 E 7th Ave Chadbourn NC 28431-1402 Ph: (910) 654-3143 |
| NPI Number | 1780643999 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 3971633231 |
|---|---|
| Medicare Enrollment ID | O20100611000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780643999 | NPI | - | NPPES |
| 343918A | Medicaid | NC | |
| 343918C | Medicaid | NC |
| Provider Name | Teresa Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013564798 PECOS PAC ID: 5092148890 Enrollment ID: I20200408001161 |
| Provider Name | Kassie Jujuan Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013542315 PECOS PAC ID: 5294164414 Enrollment ID: I20200408004154 |
| Provider Name | Elizabeth Barnhill-blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386275006 PECOS PAC ID: 1850721374 Enrollment ID: I20200504002267 |
| Provider Name | Michael Jerome Fitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366462889 PECOS PAC ID: 8426114844 Enrollment ID: I20210719002235 |
Carolina Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E 7th Ave, Chadbourn, NC 28431 Phone: 910-654-6447 Fax: 910-654-1207 | |
West Columbus Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Brown St, Chadbourn, NC 28431 Phone: 910-654-1701 Fax: 910-654-5701 | |
Goshen Medical Center - Chadbourn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 N Brown St, Chadbourn, NC 28431 Phone: 910-654-1701 Fax: 910-267-8934 |