| Elizabeth Dewey MD | |
|
4125 Lawndale Dr Greensboro NC 27455-1885 | |
| (336) 543-0786 | |
| (336) 234-5411 |
| Full Name | Elizabeth Dewey MD |
|---|---|
| Speciality | Family Medicine |
| Location | 4125 Lawndale Dr, Greensboro, North Carolina |
| Authorized Official Name and Position | Elizabeth Dewey (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3365430786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Dewey MD 4125 Lawndale Dr Greensboro NC 27455-1885 Ph: (336) 543-0786 | Elizabeth Dewey MD 4125 Lawndale Dr Greensboro NC 27455-1885 Ph: (336) 543-0786 |
| NPI Number | 1932652807 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Medicare PECOS PAC ID | 7416206644 |
|---|---|
| Medicare Enrollment ID | O20180822000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932652807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200300141 (North Carolina) | Primary |
| Provider Name | Elizabeth R Dewey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730141805 PECOS PAC ID: 9133179690 Enrollment ID: I20050124000426 |
| Provider Name | Kimberly a Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366704488 PECOS PAC ID: 5193971646 Enrollment ID: I20120816000006 |
| Provider Name | Sara Caroline Passey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558633198 PECOS PAC ID: 8224268883 Enrollment ID: I20231002003450 |
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