| Bomray Medical Clinic | |
|
3627 Beatties Ford Rd Charlotte NC 28216-3249 | |
| (704) 335-0806 | |
| (704) 334-2073 |
| Full Name | Bomray Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3627 Beatties Ford Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Jerri Olszewski (BILLING REPRESENTATIVE) |
| Authorized Official Contact | 7043350806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bomray Medical Clinic 3627 Beatties Ford Rd Charlotte NC 28216-3249 Ph: (704) 335-0806 | Bomray Medical Clinic 3627 Beatties Ford Rd Charlotte NC 28216-3249 Ph: (704) 335-0806 |
| NPI Number | 1013974864 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 07/20/2010 |
| Medicare PECOS PAC ID | 6507847068 |
|---|---|
| Medicare Enrollment ID | O20040528001186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013974864 | NPI | - | NPPES |
| 890271W | Medicaid | NC |
| Provider Name | Hans M Kwaku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689630691 PECOS PAC ID: 1052388428 Enrollment ID: I20040914001419 |
| Provider Name | Patrick E Evivie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285612374 PECOS PAC ID: 9133100696 Enrollment ID: I20110421000255 |
Carolina Medicorp Enterprises Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 South Kings Drive, Charlotte, NC 28204 Phone: 704-384-1734 Fax: 704-384-1736 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Asthma & Allergy Specialists, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8045 Providence Rd Ste 300, Charlotte, NC 28277 Phone: 704-341-9600 Fax: 704-341-9996 |