| Internal Medicine Associates Of Raleigh, Pa | |
|
3850 Ed Dr Suite 305 Raleigh NC 27612-8037 | |
| (919) 788-9588 | |
| (919) 645-1640 |
| Full Name | Internal Medicine Associates Of Raleigh, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3850 Ed Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Claire Spinks (ADMINISTRATOR) |
| Authorized Official Contact | 9197889588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Raleigh, Pa 3850 Ed Dr Suite 100 Raleigh NC 27612-8037 Ph: (919) 788-9588 | Internal Medicine Associates Of Raleigh, Pa 3850 Ed Dr Suite 305 Raleigh NC 27612-8037 Ph: (919) 788-9588 |
| NPI Number | 1841269305 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 06/19/2009 |
| Medicare PECOS PAC ID | 4981644507 |
|---|---|
| Medicare Enrollment ID | O20050503001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841269305 | NPI | - | NPPES |
| 89013GH | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anne Ibach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023012309 PECOS PAC ID: 0941299861 Enrollment ID: I20040506001764 |
| Provider Name | Steven M Liebowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386646453 PECOS PAC ID: 3072593490 Enrollment ID: I20040724000212 |
| Provider Name | Michael James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538161609 PECOS PAC ID: 6507839339 Enrollment ID: I20040818001105 |
| Provider Name | John F Lue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508868688 PECOS PAC ID: 2163487216 Enrollment ID: I20041130000880 |
| Provider Name | Robert J Starkenburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609878776 PECOS PAC ID: 6406909894 Enrollment ID: I20090803000351 |
| Provider Name | Holly Eubanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326544289 PECOS PAC ID: 0941556096 Enrollment ID: I20180703002704 |
| Provider Name | Bryanna S Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558923987 PECOS PAC ID: 4385071539 Enrollment ID: I20200227001749 |
| Provider Name | Kwameshia T Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407526767 PECOS PAC ID: 9638569304 Enrollment ID: I20211213000799 |
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