Open Water Medical, Pa - Medicare Primary Care in Beaufort, NC

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Open Water Medical, Pa is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Beaufort, North Carolina. The current practice location for Open Water Medical, Pa is 1620 Live Oak St Ste C, Beaufort, North Carolina. For appointments, you can reach them via phone at (252) 728-5737. The mailing address for Open Water Medical, Pa is 1620 Live Oak St Ste C, Beaufort, North Carolina and phone number is (252) 728-5737.

Open Water Medical, Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1750482493. 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 (252) 728-5737.

Contact Information

Open Water Medical, Pa
1620 Live Oak St Ste C
Beaufort
NC 28516-1582
(252) 728-5737
(252) 728-5739

Map and Direction


Primary Care Clinic Profile

Full NameOpen Water Medical, Pa
SpecialityClinic/Center
Location1620 Live Oak St Ste C, Beaufort, North Carolina
Authorized Official Name and PositionTisha Rae Smith (PRACTICE MANAGER)
Authorized Official Contact2527285737
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Open Water Medical, Pa
1620 Live Oak St Ste C
Beaufort
NC 28516-1582

Ph: (252) 728-5737		Open Water Medical, Pa
1620 Live Oak St Ste C
Beaufort
NC 28516-1582

Ph: (252) 728-5737

NPI Details:

NPI Number1750482493
Provider Enumeration Date09/26/2006
Last Update Date09/02/2025

Medicare PECOS Information:

Medicare PECOS PAC ID2961314315
Medicare Enrollment IDO20031104000183

Medical Identifiers

Medical identifiers for Open Water Medical, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750482493NPI-NPPES
890237LMedicaidNC
0159MOtherNCBCBS GROUP NUMBER
890159MMedicaidNC
0237LOtherNCDBA BCBS GROUP NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (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. Open Water Medical, Pa acts as a billing entity for following providers:
Provider NameRobert A Krause
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346231388
PECOS PAC ID: 7113981127
Enrollment ID: I20041201000301
Provider NameKerry A Willis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831176072
PECOS PAC ID: 6406939891
Enrollment ID: I20110105001046
Provider NameThomas L Kirtley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710977087
PECOS PAC ID: 0840267746
Enrollment ID: I20110131000827
Provider NameHelen D Meelheim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326185372
PECOS PAC ID: 3476734625
Enrollment ID: I20110222000733
Provider NameNicole A Dobbs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366803348
PECOS PAC ID: 3173812526
Enrollment ID: I20160525001176
Provider NameYvonne Marie Mcauliffe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942681093
PECOS PAC ID: 3870808108
Enrollment ID: I20160718001350
Provider NameChristine E Stallings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306306030
PECOS PAC ID: 6103152541
Enrollment ID: I20190723003797
Provider NameTerri Leigh Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972838183
PECOS PAC ID: 5698815546
Enrollment ID: I20191029001917
Provider NameAmanda N Gaddis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508497942
PECOS PAC ID: 3476982646
Enrollment ID: I20200409001260
Provider NameTheresa E Franey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851937932
PECOS PAC ID: 7113353244
Enrollment ID: I20211110000619
Provider NameRebekah Lynn Kube
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497425102
PECOS PAC ID: 0840683934
Enrollment ID: I20220214001546
Provider NameCalvin B Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174116438
PECOS PAC ID: 6800265497
Enrollment ID: I20230719004231
Provider NameChristy Haddock Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700578630
PECOS PAC ID: 5193189561
Enrollment ID: I20230919000800
Provider NameJennifer Ruffner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497512511
PECOS PAC ID: 0143660662
Enrollment ID: I20240501002507
Provider NameSidney Worrell Bradley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124868070
PECOS PAC ID: 9133650534
Enrollment ID: I20241009000063
Provider NameGerriann Burton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265166938
PECOS PAC ID: 3173046497
Enrollment ID: I20250327002121

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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.