| Shae Medical, PLLC | |
|
5306 Nc Highway 55 Suite 105 Durham NC 27713-7812 | |
| (919) 646-4858 | |
| (919) 679-7112 |
| Full Name | Shae Medical, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 5306 Nc Highway 55, Durham, North Carolina |
| Authorized Official Name and Position | Brittany A. Mckinney (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9196464858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shae Medical, PLLC 5306 Nc Highway 55 Suite 105 Durham NC 27713-7812 Ph: (919) 646-4858 | Shae Medical, PLLC 5306 Nc Highway 55 Suite 105 Durham NC 27713-7812 Ph: (919) 646-4858 |
| NPI Number | 1053084202 |
|---|---|
| Provider Enumeration Date | 07/25/2021 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Medicare PECOS PAC ID | 6305242066 |
|---|---|
| Medicare Enrollment ID | O20210903000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053084202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | () | Secondary |
| Provider Name | Cathy M Heffner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598803173 PECOS PAC ID: 5799870507 Enrollment ID: I20071009000093 |
| Provider Name | Taylor Katherine Goodnough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598745325 PECOS PAC ID: 2466471149 Enrollment ID: I20090512000671 |
| Provider Name | Megan J Schulz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790069805 PECOS PAC ID: 3870757602 Enrollment ID: I20120607000353 |
| Provider Name | Brittany a Mckinney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306187125 PECOS PAC ID: 8628215126 Enrollment ID: I20130430000301 |
| Provider Name | Lauren Strasser Kwankam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447690615 PECOS PAC ID: 0244473874 Enrollment ID: I20130830000123 |
| Provider Name | Sophie Marian Draffin Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629691761 PECOS PAC ID: 8224492749 Enrollment ID: I20230915001697 |
| Provider Name | Srisai Saratdyuti Tenjerla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528849882 PECOS PAC ID: 3577913995 Enrollment ID: I20231228000308 |
| Provider Name | Cathleen Medellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154891646 PECOS PAC ID: 8729323241 Enrollment ID: I20241206000205 |
| Provider Name | Yi Lu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093537839 PECOS PAC ID: 3173044237 Enrollment ID: I20250305001131 |
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Physicians Eldercare PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5306 Nc Highway 55 Ste 105, Durham, NC 27713 Phone: 337-991-9276 Fax: 337-943-0846 |
Triangle Geriatrics & Palliative Medicine, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Rosehill Ave, Durham, NC 27705 Phone: 540-447-6614 |
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Novant Health Durham Internal Medicine Southpoint Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5107 Southpark Dr, Suite 104, Durham, NC 27713 Phone: 919-477-6900 Fax: 919-544-6210 |