| Indycare Medical North Carolina | |
|
1706 S Cannon Blvd Ste 101 Kannapolis NC 28083-6104 | |
| (704) 933-2273 | |
| Not Available |
| Full Name | Indycare Medical North Carolina |
|---|---|
| Speciality | Internal Medicine |
| Location | 1706 S Cannon Blvd Ste 101, Kannapolis, North Carolina |
| Authorized Official Name and Position | Joshua Dobstaff (PRESIDENT) |
| Authorized Official Contact | 9196193269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indycare Medical North Carolina 249 Mosaic Blvd Apt 419 Pittsboro NC 27312-4975 Ph: () - | Indycare Medical North Carolina 1706 S Cannon Blvd Ste 101 Kannapolis NC 28083-6104 Ph: (704) 933-2273 |
| NPI Number | 1548740038 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 11/12/2024 |
| Medicare PECOS PAC ID | 1658616362 |
|---|---|
| Medicare Enrollment ID | O20181228001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548740038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rebecca S Hasmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720042484 PECOS PAC ID: 1052325412 Enrollment ID: I20060206000698 |
| Provider Name | Dennis Wayne Garver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184703282 PECOS PAC ID: 4385644715 Enrollment ID: I20070108000466 |
| Provider Name | Paul F Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073618088 PECOS PAC ID: 6901971530 Enrollment ID: I20080818000139 |
| Provider Name | Joshua Dobstaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891923975 PECOS PAC ID: 8729237615 Enrollment ID: I20121010000058 |
| Provider Name | Jaime Pedraza |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457585382 PECOS PAC ID: 8921232265 Enrollment ID: I20130930000005 |
| Provider Name | Nisha Kotecha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093144719 PECOS PAC ID: 1658503420 Enrollment ID: I20140409001127 |
| Provider Name | Tyffany M Nyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639588189 PECOS PAC ID: 9931421443 Enrollment ID: I20141210002507 |
| Provider Name | Christopher A Upchurch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326442062 PECOS PAC ID: 0345563052 Enrollment ID: I20150105002152 |
| Provider Name | Christin Heverly Raymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053831750 PECOS PAC ID: 3678845864 Enrollment ID: I20170823001569 |
| Provider Name | Pushpinder K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386180230 PECOS PAC ID: 3971843004 Enrollment ID: I20190327001081 |
| Provider Name | Terence Christopher Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740807585 PECOS PAC ID: 1456764364 Enrollment ID: I20210114002053 |
| Provider Name | Jennifer Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831761881 PECOS PAC ID: 0042617862 Enrollment ID: I20210921003682 |
| Provider Name | Lauren Abby Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194342352 PECOS PAC ID: 4486074671 Enrollment ID: I20220901000860 |
| Provider Name | Sarabeth Lyn Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417718818 PECOS PAC ID: 2860838679 Enrollment ID: I20240314001490 |
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Public Health Authority Of Cabarrus County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Mooresville Rd, Kannapolis, NC 28081 Phone: 704-920-1000 Fax: 704-934-4270 | |
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