| North Raleigh Family Medicine | |
|
8331 Bandford Way Suite 101 Raleigh NC 27615-2758 | |
| (919) 841-4566 | |
| (919) 841-4568 |
| Full Name | North Raleigh Family Medicine |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 8331 Bandford Way, Raleigh, North Carolina |
| Authorized Official Name and Position | Thomas L. Jeffries (PRESIDENT) |
| Authorized Official Contact | 9198414566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Raleigh Family Medicine 8331 Bandford Way Suite 101 Raleigh NC 27615-2758 Ph: (919) 841-4566 | North Raleigh Family Medicine 8331 Bandford Way Suite 101 Raleigh NC 27615-2758 Ph: (919) 841-4566 |
| NPI Number | 1609903228 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1759535115 |
|---|---|
| Medicare Enrollment ID | O20130212000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609903228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35144 (North Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 67397 (North Carolina) | Primary |
| Provider Name | Thomas L Jeffries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114955671 PECOS PAC ID: 5294754842 Enrollment ID: I20051114000563 |
| Provider Name | Rebecca Jeffries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104483387 PECOS PAC ID: 4486982337 Enrollment ID: I20190829003973 |
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