| Primehealth Asheville Pa | |
|
1 Vanderbilt Park Dr Ste 200 Asheville NC 28803 | |
| (828) 274-9920 | |
| Not Available |
| Full Name | Primehealth Asheville Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Vanderbilt Park Dr Ste 200, Asheville, North Carolina |
| Authorized Official Name and Position | Lena F Laughter (PRACTICE MANAGER) |
| Authorized Official Contact | 8282749920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primehealth Asheville Pa 1 Vanderbilt Park Dr Ste 200 Asheville NC 28803-1736 Ph: (828) 274-9920 | Primehealth Asheville Pa 1 Vanderbilt Park Dr Ste 200 Asheville NC 28803 Ph: (828) 274-9920 |
| NPI Number | 1043338908 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/27/2018 |
| Medicare PECOS PAC ID | 7618936998 |
|---|---|
| Medicare Enrollment ID | O20041004000890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043338908 | NPI | - | NPPES |
| 1679677819 | Other | NC | MICHEAL P. SHEA NPI |
| 89016E8 | Medicaid | NC | |
| 1124088620 | Other | NC | JOHN P GARDNER NPI |
| 1114082948 | Other | NC | ELIZABETH F. GARDNER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200200029 (North Carolina) | Primary |
| Provider Name | John P Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124088620 PECOS PAC ID: 3870552078 Enrollment ID: I20041006001453 |
| Provider Name | Matthew Alan Mahar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265413660 PECOS PAC ID: 4082653456 Enrollment ID: I20060220000482 |
| Provider Name | Jennifer W Wilhelm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871507749 PECOS PAC ID: 2860577632 Enrollment ID: I20080304000878 |
| Provider Name | Sara Glance Caldwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750727954 PECOS PAC ID: 4284924242 Enrollment ID: I20160602002095 |
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