| Mcpc-24, Llc | |
|
155 Memorial Dr Pinehurst NC 28374-8710 | |
| (910) 715-2145 | |
| (910) 235-7913 |
| Full Name | Mcpc-24, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 Memorial Dr, Pinehurst, North Carolina |
| Authorized Official Name and Position | Mickey Foster (CEO) |
| Authorized Official Contact | 9107154473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcpc-24, Llc 155 Memorial Dr Pinehurst NC 28374-8710 Ph: (910) 715-2145 | Mcpc-24, Llc 155 Memorial Dr Pinehurst NC 28374-8710 Ph: (910) 715-2145 |
| NPI Number | 1922734375 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 12/31/2024 |
| Medicare PECOS PAC ID | 4486023785 |
|---|---|
| Medicare Enrollment ID | O20221208001044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922734375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Ray Barnes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417921016 PECOS PAC ID: 8022069079 Enrollment ID: I20050207000812 |
| Provider Name | Angela M Walling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679508253 PECOS PAC ID: 3577508019 Enrollment ID: I20050624000210 |
| Provider Name | Suzanne Lee Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619996121 PECOS PAC ID: 8426154808 Enrollment ID: I20070501000406 |
| Provider Name | Chrystal F Eller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487797114 PECOS PAC ID: 0840374500 Enrollment ID: I20080220000246 |
| Provider Name | Katherine T Blackmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518272632 PECOS PAC ID: 9638294002 Enrollment ID: I20100909000488 |
| Provider Name | Charles B Howarth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932165552 PECOS PAC ID: 3577453752 Enrollment ID: I20130827000595 |
| Provider Name | Mary Belle Weitzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851687487 PECOS PAC ID: 9133349756 Enrollment ID: I20141002001948 |
| Provider Name | Julie T Coggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023566544 PECOS PAC ID: 3678852092 Enrollment ID: I20161108000290 |
| Provider Name | Alysa D Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447644125 PECOS PAC ID: 2769754548 Enrollment ID: I20170815002067 |
| Provider Name | Ann Marie T Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942611280 PECOS PAC ID: 6305062332 Enrollment ID: I20171013002214 |
| Provider Name | Sun Moon Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649563834 PECOS PAC ID: 6901155266 Enrollment ID: I20180820001419 |
| Provider Name | Jennifer Picerno Bowyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083197115 PECOS PAC ID: 3072857705 Enrollment ID: I20181205003761 |
| Provider Name | Jessica R Heyse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508412511 PECOS PAC ID: 4981936267 Enrollment ID: I20191106001998 |
| Provider Name | Pallavi Sindhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467766006 PECOS PAC ID: 2062656093 Enrollment ID: I20210628003584 |
Mcpc-8, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Ivey Ln Ste A, Pinehurst, NC 28374 Phone: 910-215-5200 Fax: 910-215-5215 | |
Mcpc-29, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-1000 | |
Max Motion Physical Therapy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Olmsted Blvd Ste D, Pinehurst, NC 28374 Phone: 910-235-0655 Fax: 910-235-0665 | |
Pinehurst Medical Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Page Rd, Pinehurst, NC 28374 Phone: 910-295-5511 Fax: 910-235-3443 | |
Mcpc-14, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Page Rd N Ste 1, Pinehurst, NC 28374 Phone: 910-715-8671 Fax: 910-715-6878 | |
Philipp C Wirth Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Aviemore Ct, Pinehurst, NC 28374 Phone: 315-729-0767 | |
Pinehurst Family Care Center,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Aviemore Dr, Pinehurst, NC 28374 Phone: 910-215-5555 Fax: 910-215-6134 |