| Sentara Kitty Hawk | |
|
5200 N Croatan Hwy Kitty Hawk NC 27949-3990 | |
| (252) 255-6020 | |
| Not Available |
| Full Name | Sentara Kitty Hawk |
|---|---|
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5200 N Croatan Hwy, Kitty Hawk, North Carolina |
| Authorized Official Name and Position | Robert A Broermann (SR VP/CFO) |
| Authorized Official Contact | 7574557020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sentara Kitty Hawk 5200 N Croatan Hwy Kitty Hawk NC 27949-3990 Ph: (252) 255-6020 | Sentara Kitty Hawk 5200 N Croatan Hwy Kitty Hawk NC 27949-3990 Ph: (252) 255-6020 |
| NPI Number | 1477967248 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 06/25/2014 |
| Medicare PECOS PAC ID | 1254564651 |
|---|---|
| Medicare Enrollment ID | O20140630001120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477967248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | (North Carolina) | Primary |
| Provider Name | Lindsey L White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770535353 PECOS PAC ID: 1052225455 Enrollment ID: I20040911000191 |
| Provider Name | Stewart C Manning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104897537 PECOS PAC ID: 1254310816 Enrollment ID: I20050215000996 |
| Provider Name | Albrecht M Heyder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073524146 PECOS PAC ID: 3375632755 Enrollment ID: I20071207000823 |
| Provider Name | Neil Denunzio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598727794 PECOS PAC ID: 9638206543 Enrollment ID: I20100426000326 |
Sentara Family Medicine Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 N Croatan Hwy, Ste 12, Kitty Hawk, NC 27949 Phone: 252-715-5100 Fax: 844-648-0730 | |
Care-a-van House Calls Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 Beech Tree Trl, Kitty Hawk, NC 27949 Phone: 252-441-9941 Fax: 252-441-9943 | |
Beach Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5200 N Croatan Hwy Ste 6, Kitty Hawk, NC 27949 Phone: 252-261-4187 Fax: 833-989-2346 | |
Beach Medical Care, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 N Croatan Hwy, Kitty Hawk, NC 27949 Phone: 252-261-4187 Fax: 252-261-5182 | |
Coastal Family Medicine And Wellness Center,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 North Croatan Highway, Suite 7, Kitty Hawk, NC 27949 Phone: 252-715-0607 |