| Select Family Practice | |
|
10931 Raven Ridge Rd Ste 115 Raleigh NC 27614-6499 | |
| (919) 676-0202 | |
| (919) 676-0224 |
| Full Name | Select Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 10931 Raven Ridge Rd Ste 115, Raleigh, North Carolina |
| Authorized Official Name and Position | Jennifer C Arata (MANAGER) |
| Authorized Official Contact | 9196760202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Family Practice 10931 Raven Ridge Rd Ste 115 Raleigh NC 27614-6499 Ph: (919) 801-5142 | Select Family Practice 10931 Raven Ridge Rd Ste 115 Raleigh NC 27614-6499 Ph: (919) 676-0202 |
| NPI Number | 1124501085 |
|---|---|
| Provider Enumeration Date | 09/07/2018 |
| Last Update Date | 03/21/2019 |
| Medicare PECOS PAC ID | 4688912652 |
|---|---|
| Medicare Enrollment ID | O20190218000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124501085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 243501 (North Carolina) | Primary |
| Provider Name | Reza J Hatefi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114960036 PECOS PAC ID: 0840184875 Enrollment ID: I20040211000467 |
| Provider Name | Russell Harrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275571317 PECOS PAC ID: 2860466331 Enrollment ID: I20040820000793 |
| Provider Name | Susan Smolen Horlick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871751321 PECOS PAC ID: 4183763279 Enrollment ID: I20091202000758 |
| Provider Name | Sallie B Corse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548707698 PECOS PAC ID: 2466738927 Enrollment ID: I20170417002014 |
| Provider Name | Lauren Alexa Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588296826 PECOS PAC ID: 7416388095 Enrollment ID: I20200514002573 |
| Provider Name | Daniel Robert Nardi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255971883 PECOS PAC ID: 0941621379 Enrollment ID: I20200610002356 |
| Provider Name | Noah Aaron Kelly Greenblatt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245821560 PECOS PAC ID: 2769872936 Enrollment ID: I20211201002609 |
| Provider Name | Emma West Rodts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932970506 PECOS PAC ID: 9739623562 Enrollment ID: I20240703001004 |
| Provider Name | Sarah E Blackwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790596161 PECOS PAC ID: 6406368406 Enrollment ID: I20250625001844 |
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Biobility PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 Wind Chime Ct Ste 103, Raleigh, NC 27615 Phone: 843-898-3309 Fax: 919-322-3796 |
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