Pura Clinic Family Medicine Pc - Medicare Primary Care in Fayetteville, NC

Pura Clinic Family Medicine Pc is a medicare enrolled primary clinic (Family Medicine) in Fayetteville, North Carolina. The current practice location for Pura Clinic Family Medicine Pc is 124 Baywood Rd, Suite 111, Fayetteville, North Carolina. For appointments, you can reach them via phone at (910) 829-0143. The mailing address for Pura Clinic Family Medicine Pc is 124 Baywood Rd, Suite 111, Fayetteville, North Carolina and phone number is (910) 829-0143.

Pura Clinic Family Medicine Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1487077491. 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 (910) 829-0143.

Contact Information

Pura Clinic Family Medicine Pc
124 Baywood Rd
Suite 111
Fayetteville
NC 28312-9136
(910) 829-0143
(910) 829-5107

Map and Direction


Primary Care Clinic Profile

Full NamePura Clinic Family Medicine Pc
SpecialityFamily Medicine
Location124 Baywood Rd, Fayetteville, North Carolina
Authorized Official Name and PositionMohamad A Shakir (OWNER/MD)
Authorized Official Contact9108290143
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pura Clinic Family Medicine Pc
124 Baywood Rd
Suite 111
Fayetteville
NC 28312-9136

Ph: (910) 829-0143
Pura Clinic Family Medicine Pc
124 Baywood Rd
Suite 111
Fayetteville
NC 28312-9136

Ph: (910) 829-0143

NPI Details:

NPI Number1487077491
Provider Enumeration Date01/27/2014
Last Update Date11/10/2014

Medicare PECOS Information:

Medicare PECOS PAC ID2668605528
Medicare Enrollment IDO20140429001716

Medical Identifiers

Medical identifiers for Pura Clinic Family Medicine Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487077491NPI-NPPES
1487077491MedicaidNC
148J4OtherNCBCBSNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily 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. Pura Clinic Family Medicine Pc acts as a billing entity for following providers:
Provider NameMohamad A Shakir
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689792830
PECOS PAC ID: 9537231923
Enrollment ID: I20080630000304

Reviews and Comments


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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.