| Hometown Med Of Moyock And Obx Pllc | |
|
109 Currituck Commerical Dr Ste A Moyock NC 27958-9068 | |
| (252) 772-1110 | |
| (252) 319-3678 |
| Full Name | Hometown Med Of Moyock And Obx Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 109 Currituck Commerical Dr Ste A, Moyock, North Carolina |
| Authorized Official Name and Position | Carmen M Wynes (OWNER) |
| Authorized Official Contact | 2527721110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Med Of Moyock And Obx Pllc 109 Currituck Commerical Dr Ste A Moyock NC 27958-9068 Ph: (252) 772-1110 | Hometown Med Of Moyock And Obx Pllc 109 Currituck Commerical Dr Ste A Moyock NC 27958-9068 Ph: (252) 772-1110 |
| NPI Number | 1750021325 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 2264818350 |
|---|---|
| Medicare Enrollment ID | O20220927001293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750021325 | NPI | - | NPPES |
| 1073000816 | Medicaid | VA | |
| 1750021325 | Medicaid | NC |
| Provider Name | Carmen M Wynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073000816 PECOS PAC ID: 8729325469 Enrollment ID: I20220927001381 |
Albemarle Physician Services - Sentara, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 446 Caratoke Hwy, Moyock, NC 27958 Phone: 252-435-1275 Fax: 855-348-4480 | |
Currituck Internal Medicine & General Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Caratoke Hwy, Moyock, NC 27958 Phone: 252-435-6621 Fax: 252-435-2685 | |
Moyock Institute Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 246 Oxford Rd, Moyock, NC 27958 Phone: 252-285-6898 | |
Currituck Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Commercial Dr, A, Moyock, NC 27958 Phone: 252-435-6131 Fax: 252-435-6852 | |
Chesapeake Regional Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 534 Caratoke Hwy, Moyock, NC 27958 Phone: 252-435-6621 Fax: 252-435-2685 | |
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