| Wellspring Family Practice, Pa | |
|
81 Medical Park Loop Suite 202 Sylva NC 28779-5291 | |
| (828) 586-7705 | |
| (828) 586-7714 |
| Full Name | Wellspring Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 81 Medical Park Loop, Sylva, North Carolina |
| Authorized Official Name and Position | Matthew Alan Mahar (OWNER) |
| Authorized Official Contact | 8285867705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Family Practice, Pa Po Box 149 Sylva NC 28779-0149 Ph: (828) 586-7705 | Wellspring Family Practice, Pa 81 Medical Park Loop Suite 202 Sylva NC 28779-5291 Ph: (828) 586-7705 |
| NPI Number | 1083756761 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/07/2013 |
| Medicare PECOS PAC ID | 0941249312 |
|---|---|
| Medicare Enrollment ID | O20050426001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083756761 | NPI | - | NPPES |
| 5950037 | Medicaid | NC | |
| 019U1 | Other | NC | BCBS-GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200001199 (North Carolina) | Primary |
| Provider Name | Matthew Alan Mahar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265413660 PECOS PAC ID: 4082653456 Enrollment ID: I20060220000482 |
Dlp Western Carolina Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 The Village Overlook, Sylva, NC 28779 Phone: 828-631-8913 | |
Sylva Medical Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 293 Hospital Rd, Sylva, NC 28779 Phone: 828-586-8971 | |
Mountain View Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98a Cope Creek Road, Sylva, NC 28779 Phone: 828-586-7925 Fax: 828-586-7926 | |
Sylva Family Practice, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 Fisher Creek Rd, Sylva, NC 28779 Phone: 828-586-4012 Fax: 828-586-5162 | |
Harris Regional Cancer Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Medical Park Loop, Sylva, NC 28779 Phone: 828-586-7610 Fax: 828-586-7615 | |
Dlp Western Carolina Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Doctors Dr Ste 300, Sylva, NC 28779 Phone: 828-586-9642 |