| Reserve Health, Pc | |
|
135 W 10th St Charlotte NC 28202 | |
| (704) 562-1613 | |
| Not Available |
| Full Name | Reserve Health, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 135 W 10th St, Charlotte, North Carolina |
| Authorized Official Name and Position | Daniel T. Biondi (CEO) |
| Authorized Official Contact | 7046266266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reserve Health, Pc 650 S Tryon St Ste 440 Charlotte NC 28202-3271 Ph: (704) 626-6266 | Reserve Health, Pc 135 W 10th St Charlotte NC 28202 Ph: (704) 562-1613 |
| NPI Number | 1659828291 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 03/05/2026 |
| Medicare PECOS PAC ID | 2668754383 |
|---|---|
| Medicare Enrollment ID | O20170112002522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659828291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel T Biondi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558310078 PECOS PAC ID: 0749200160 Enrollment ID: I20061219000208 |
| Provider Name | Chioma R Ekechukwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376650275 PECOS PAC ID: 4587735410 Enrollment ID: I20090620000015 |
| Provider Name | Kenya E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588285480 PECOS PAC ID: 2062810203 Enrollment ID: I20211001002248 |
| Provider Name | Ieachia T Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003485699 PECOS PAC ID: 0042600710 Enrollment ID: I20211213000605 |
| Provider Name | Kirby J Bandoquillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598150195 PECOS PAC ID: 1456653195 Enrollment ID: I20231207002044 |
| Provider Name | Amy Love Harvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497414361 PECOS PAC ID: 8921452434 Enrollment ID: I20231214001728 |
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