| Pavana Treatment Group, P.c. | |
|
1560 Union Rd Gastonia NC 28054-2209 | |
| (704) 490-4993 | |
| Not Available |
| Full Name | Pavana Treatment Group, P.c. |
|---|---|
| Speciality | Anesthesiology |
| Location | 1560 Union Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Melissa Blocker (CFO) |
| Authorized Official Contact | 8648003223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavana Treatment Group, P.c. 1560 Union Rd Gastonia NC 28054-2209 Ph: (704) 490-4993 | Pavana Treatment Group, P.c. 1560 Union Rd Gastonia NC 28054-2209 Ph: (704) 490-4993 |
| NPI Number | 1043849896 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 08/13/2024 |
| Medicare PECOS PAC ID | 1456743095 |
|---|---|
| Medicare Enrollment ID | O20220112000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043849896 | NPI | - | NPPES |
| 1043849896 | Medicaid | NC |
| Provider Name | Robert Gareth Ellis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851598130 PECOS PAC ID: 6901052661 Enrollment ID: I20120813000022 |
| Provider Name | Stacey Stroh Rabindran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811371438 PECOS PAC ID: 5890002018 Enrollment ID: I20150920000001 |
| Provider Name | Dawn Mcneely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871008649 PECOS PAC ID: 9830459585 Enrollment ID: I20180129001282 |
| Provider Name | Heather Lynn Cynowa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114451754 PECOS PAC ID: 4284994633 Enrollment ID: I20180205001665 |
| Provider Name | Amy Vongvilath Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477149730 PECOS PAC ID: 3072929538 Enrollment ID: I20210308001285 |
| Provider Name | Nicole Beal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518539691 PECOS PAC ID: 9133526148 Enrollment ID: I20210917001289 |
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 | |
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 | |
Southern Pulmonary Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Cox Rd, Ste B, Gastonia, NC 28054 Phone: 704-868-3411 Fax: 704-865-9722 |