Centerwell Senior Primary Care (nc) Pc - Medicare Primary Care in Gastonia, NC

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Centerwell Senior Primary Care (nc) Pc is a medicare enrolled primary clinic (Internal Medicine) in Gastonia, North Carolina. The current practice location for Centerwell Senior Primary Care (nc) Pc is 2910 E Franklin Blvd, 1, Gastonia, North Carolina. For appointments, you can reach them via phone at (704) 648-0460. The mailing address for Centerwell Senior Primary Care (nc) Pc is 6101 Blue Lagoon Dr Ste 200, Miami, Florida and phone number is (305) 500-2000.

Centerwell Senior Primary Care (nc) Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073034625. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (704) 648-0460.

Contact Information

Centerwell Senior Primary Care (nc) Pc
2910 E Franklin Blvd, 1
Gastonia
NC 28056-7725
(704) 648-0460
(855) 446-7146

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care (nc) Pc
SpecialityInternal Medicine
Location2910 E Franklin Blvd, 1, Gastonia, North Carolina
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care (nc) Pc
6101 Blue Lagoon Dr Ste 200
Miami
FL 33126-3168

Ph: (305) 500-2000		Centerwell Senior Primary Care (nc) Pc
2910 E Franklin Blvd, 1
Gastonia
NC 28056-7725

Ph: (704) 648-0460

NPI Details:

NPI Number1073034625
Provider Enumeration Date07/05/2017
Last Update Date07/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2264708486
Medicare Enrollment IDO20171016002152

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care (nc) Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073034625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (North Carolina)Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Centerwell Senior Primary Care (nc) Pc acts as a billing entity for following providers:
Provider NameKanchan P Mcmahan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649258492
PECOS PAC ID: 5991711913
Enrollment ID: I20060301000189
Provider NameChristel N Keisler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831384189
PECOS PAC ID: 2668524752
Enrollment ID: I20090721000529
Provider NameElie M Osta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861468902
PECOS PAC ID: 4284697376
Enrollment ID: I20100728000676
Provider NameSally Metcalf Lambeth
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1760539589
PECOS PAC ID: 2668598699
Enrollment ID: I20100928000780
Provider NameAhunna N Okwubunka Anyim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023216199
PECOS PAC ID: 5092803866
Enrollment ID: I20130823000458
Provider NameSusanna Marie Shepard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003992058
PECOS PAC ID: 0244479913
Enrollment ID: I20131008000156
Provider NameDeneda T Daye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033455191
PECOS PAC ID: 1254558695
Enrollment ID: I20140808001410
Provider NameBarron I Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972947679
PECOS PAC ID: 9335386010
Enrollment ID: I20170425001128
Provider NameMarion Maria Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821526526
PECOS PAC ID: 9638449721
Enrollment ID: I20170722000072
Provider NameMiesha Kindell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306202742
PECOS PAC ID: 7911201926
Enrollment ID: I20171010003125
Provider NameJaicie Nadine Congress
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497242630
PECOS PAC ID: 4082969944
Enrollment ID: I20180618000152
Provider NameErica Lache' Savage-jeter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275657694
PECOS PAC ID: 9739234584
Enrollment ID: I20180709000632
Provider NameKavithamani Mallan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891257903
PECOS PAC ID: 1658602404
Enrollment ID: I20191009003209
Provider NameThomas Parrish
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669823100
PECOS PAC ID: 0749573186
Enrollment ID: I20200808000180
Provider NameJocelyn Alisa Sampson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427524958
PECOS PAC ID: 8921419557
Enrollment ID: I20201202002662
Provider NameLorie Jolly
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043638554
PECOS PAC ID: 2860754868
Enrollment ID: I20210107000154
Provider NameGregory Michael Lavins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912402769
PECOS PAC ID: 0749537025
Enrollment ID: I20210720003489
Provider NameChris C Que
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669432043
PECOS PAC ID: 5496846248
Enrollment ID: I20210729004065
Provider NameHeidi S Cammer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467127886
PECOS PAC ID: 7214335942
Enrollment ID: I20211012000290
Provider NameKristin Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912667072
PECOS PAC ID: 6406248558
Enrollment ID: I20220121001421
Provider NameKam Wei Chan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891759510
PECOS PAC ID: 9234328238
Enrollment ID: I20220121001975
Provider NameMarcella Ann Tabor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184681579
PECOS PAC ID: 0244134013
Enrollment ID: I20220124000122
Provider NameAlagusivakumari Rameshbabu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003850389
PECOS PAC ID: 9739071341
Enrollment ID: I20220512002809
Provider NameLakeshia Antoinette Entzminger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215215934
PECOS PAC ID: 8426296047
Enrollment ID: I20220513001137
Provider NameAmy Beth Raz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881669315
PECOS PAC ID: 2668645516
Enrollment ID: I20221021001532
Provider NameKusum Paudel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710608641
PECOS PAC ID: 5698145340
Enrollment ID: I20221221002686
Provider NameLevonne Mitchell Samon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770542813
PECOS PAC ID: 9032176276
Enrollment ID: I20230214001673
Provider NameRegi Jose Vadassery
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275562035
PECOS PAC ID: 3971975251
Enrollment ID: I20230215000217
Provider NameNana Yaa Serwaa Addai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114539814
PECOS PAC ID: 2163800194
Enrollment ID: I20230504001362
Provider NameVijaya Surekha Bhamidipati
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679769863
PECOS PAC ID: 5698843761
Enrollment ID: I20230608003022
Provider NameJeff Turner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588968903
PECOS PAC ID: 8729305156
Enrollment ID: I20230621002221
Provider NameJalecia Maria Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164189874
PECOS PAC ID: 1658725882
Enrollment ID: I20230921003169
Provider NameJorge Merino Herrera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306332739
PECOS PAC ID: 1052715588
Enrollment ID: I20231010000787
Provider NameConsuelo Feliz Mendez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356726947
PECOS PAC ID: 9931446895
Enrollment ID: I20231027000313
Provider NameJerell Diego Chua
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1962637827
PECOS PAC ID: 7810149721
Enrollment ID: I20231120003313
Provider NameZuhair Ahmed Abualrihy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720240682
PECOS PAC ID: 4981856564
Enrollment ID: I20240515004410
Provider NameCecile Catalan Dadivas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609822865
PECOS PAC ID: 7214975598
Enrollment ID: I20240621001556
Provider NameEric J Pederson
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1679001945
PECOS PAC ID: 7113295973
Enrollment ID: I20240917001896
Provider NameMary Simmons Burgess
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861519787
PECOS PAC ID: 7810225950
Enrollment ID: I20241021003901

Reviews and Comments


Internal Medicine in Gastonia, NC

Gaston Family Health Services Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1 Roadrunner Dr, Gastonia, NC 28052
Phone: 704-866-6290    Fax: 704-866-6293
Vance Internal Medicine
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3624 Easthampton Dr, Gastonia, NC 28056
Phone: 704-564-1312    Fax: 310-348-0201
Gastonia Medical Specialty Clinic Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1021 X Ray Dr, Gastonia, NC 28054
Phone: 704-867-2341    Fax: 704-867-9019
Shaped Health And Wellness
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2020 Remount Rd Ste E-105, Gastonia, NC 28054
Phone: 704-931-8286    
Pavana Treatment Group, P.c.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1560 Union Rd, Gastonia, NC 28054
Phone: 704-490-4993    
Gaston Family Health Services, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 137 Stowe Rd, Gastonia, NC 28056
Phone: 704-836-9112    Fax: 704-824-4715

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.