| Elohim Housecall Doctors P.a. | |
|
5009 Bennington Way High Point NC 27262-8473 | |
| (917) 373-8869 | |
| Not Available |
| Full Name | Elohim Housecall Doctors P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5009 Bennington Way, High Point, North Carolina |
| Authorized Official Name and Position | Philip Asenso (PRESIDENT) |
| Authorized Official Contact | 9173728869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elohim Housecall Doctors P.a. 5009 Bennington Way High Point NC 27262-8473 Ph: (917) 373-8869 | Elohim Housecall Doctors P.a. 5009 Bennington Way High Point NC 27262-8473 Ph: (917) 373-8869 |
| NPI Number | 1730636028 |
|---|---|
| Provider Enumeration Date | 09/05/2016 |
| Last Update Date | 09/05/2016 |
| Medicare PECOS PAC ID | 0648550004 |
|---|---|
| Medicare Enrollment ID | O20161201001356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730636028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200901408 (North Carolina) | Primary |
| Provider Name | Philip Asenso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366673048 PECOS PAC ID: 5799839981 Enrollment ID: I20090822000204 |
| Provider Name | Tracy Gaffney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548756547 PECOS PAC ID: 9638568140 Enrollment ID: I20211122001430 |
| Provider Name | Sonia Melissia Patiram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376248948 PECOS PAC ID: 6204297583 Enrollment ID: I20230802003752 |
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