| Hookerton Family Practice, PA | |
|
516 S Wm Hooker Dr Hookerton NC 28538-7188 | |
| (252) 747-2089 | |
| Not Available |
| Full Name | Hookerton Family Practice, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 516 S Wm Hooker Dr, Hookerton, North Carolina |
| Authorized Official Name and Position | Donald Alan Ribeiro (OWNER) |
| Authorized Official Contact | 2527472089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hookerton Family Practice, PA 516 S Wm Hooker Dr Hookerton NC 28538-7188 Ph: (252) 747-2089 | Hookerton Family Practice, PA 516 S Wm Hooker Dr Hookerton NC 28538-7188 Ph: (252) 747-2089 |
| NPI Number | 1245275221 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Medicare PECOS PAC ID | 1557424611 |
|---|---|
| Medicare Enrollment ID | O20090115000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245275221 | NPI | - | NPPES |
| BCBS OF NC | Other | NC | BCBS GROUP NUMBER |
| 5904152 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31627 (North Carolina) | Primary |
| Provider Name | Donald a Ribeiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407835010 PECOS PAC ID: 3274502604 Enrollment ID: I20061102000413 |
| Provider Name | David W Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942596481 PECOS PAC ID: 6002060431 Enrollment ID: I20130212000035 |
| Provider Name | Lindsay Y Lyall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649660481 PECOS PAC ID: 5991022790 Enrollment ID: I20150316000318 |
| Provider Name | Sarah Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871973958 PECOS PAC ID: 7416264791 Enrollment ID: I20150918001412 |
| Provider Name | Nathan W Heath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740780386 PECOS PAC ID: 8628332301 Enrollment ID: I20180504000228 |
| Provider Name | Meredith Carraway Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972004026 PECOS PAC ID: 1355605916 Enrollment ID: I20180507001223 |
| Provider Name | Meredith Carraway Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972004026 PECOS PAC ID: 1355605916 Enrollment ID: I20180806001063 |
| Provider Name | Kasie K Moss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538623426 PECOS PAC ID: 2466791900 Enrollment ID: I20190228001405 |
| Provider Name | Rebecca a Croom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699411561 PECOS PAC ID: 8022498765 Enrollment ID: I20220712000834 |
| Provider Name | Laurie S Ribeiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376272062 PECOS PAC ID: 2365810876 Enrollment ID: I20221114003019 |
| Provider Name | Pritesh Jitendrakumar Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851041719 PECOS PAC ID: 0547626830 Enrollment ID: I20230510003646 |
| Provider Name | Jessica W Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952081119 PECOS PAC ID: 1456707447 Enrollment ID: I20231027000094 |