| Josette Maria, MD PA | |
|
800 Susan Tart Rd Dunn NC 28334 | |
| (910) 892-8892 | |
| (910) 892-1063 |
| Full Name | Josette Maria, MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Susan Tart Rd, Dunn, North Carolina |
| Authorized Official Name and Position | Josette Maria (PRESIDENT) |
| Authorized Official Contact | 9108928892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Josette Maria, MD PA 800 Susan Tart Rd Dunn NC 28334-5506 Ph: (910) 892-8892 | Josette Maria, MD PA 800 Susan Tart Rd Dunn NC 28334 Ph: (910) 892-8892 |
| NPI Number | 1891982526 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 08/14/2021 |
| Certification Date | 08/14/2021 |
| Medicare PECOS PAC ID | 0840384723 |
|---|---|
| Medicare Enrollment ID | O20071017000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891982526 | NPI | - | NPPES |
| 5950092 | Medicaid | NC | |
| 1281E | Other | NC | BCBS NC |
| 891281E | Medicaid | NC |
| Provider Name | Josette Maria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629076690 PECOS PAC ID: 7618862095 Enrollment ID: I20040216000702 |
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