| Preston Medical Associates Pa | |
|
3600 Nw Cary Pkwy Suite 104 Cary NC 27513-8444 | |
| (919) 319-9219 | |
| (919) 481-1716 |
| Full Name | Preston Medical Associates Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3600 Nw Cary Pkwy, Cary, North Carolina |
| Authorized Official Name and Position | Maria Salsone (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9193199219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Medical Associates Pa 3600 Nw Cary Pkwy Suite 104 Cary NC 27513-8444 Ph: (919) 319-9219 | Preston Medical Associates Pa 3600 Nw Cary Pkwy Suite 104 Cary NC 27513-8444 Ph: (919) 319-9219 |
| NPI Number | 1306801758 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 02/25/2013 |
| Medicare PECOS PAC ID | 5991762866 |
|---|---|
| Medicare Enrollment ID | O20041213000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306801758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth F Vandergriff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972566735 PECOS PAC ID: 8527025493 Enrollment ID: I20041215000597 |
| Provider Name | Schquthia F Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720182421 PECOS PAC ID: 0143287037 Enrollment ID: I20041215000836 |
| Provider Name | Carolyn Ann Berlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790249605 PECOS PAC ID: 6406196682 Enrollment ID: I20190326001380 |
| Provider Name | Melynda W Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114042892 PECOS PAC ID: 2668533472 Enrollment ID: I20190614002328 |
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