| Zack Hall, Md Pllc | |
|
217 Turner Dr Ste F Reidsville NC 27320-5754 | |
| (336) 342-6060 | |
| (336) 342-6068 |
| Full Name | Zack Hall, Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 217 Turner Dr Ste F, Reidsville, North Carolina |
| Authorized Official Name and Position | Kathy Cheek (PRACTICE MANAGER) |
| Authorized Official Contact | 3363426060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zack Hall, Md Pllc 217 Turner Dr Ste F Reidsville NC 27320-5754 Ph: (336) 342-6060 | Zack Hall, Md Pllc 217 Turner Dr Ste F Reidsville NC 27320-5754 Ph: (336) 342-6060 |
| NPI Number | 1003075219 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 04/18/2022 |
| Medicare PECOS PAC ID | 9739249772 |
|---|---|
| Medicare Enrollment ID | O20081120000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003075219 | NPI | - | NPPES |
| 5907415 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John Z Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215961180 PECOS PAC ID: 0547268831 Enrollment ID: I20061121000267 |
| Provider Name | Kaitlin Aynsley Boos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750785333 PECOS PAC ID: 2769704279 Enrollment ID: I20141210002486 |
| Provider Name | Courtney S Keatts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073970539 PECOS PAC ID: 5395040364 Enrollment ID: I20160229002837 |
| Provider Name | Emily B Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881916583 PECOS PAC ID: 1850530528 Enrollment ID: I20180426002867 |
| Provider Name | Kyra Ann Mcclanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154805919 PECOS PAC ID: 6103162243 Enrollment ID: I20190110003509 |
| Provider Name | Stephanie Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083248470 PECOS PAC ID: 1658794623 Enrollment ID: I20200709000399 |
| Provider Name | Joseph M Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427672682 PECOS PAC ID: 4981022126 Enrollment ID: I20200921000251 |
| Provider Name | Lisa Ann Hamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215569421 PECOS PAC ID: 9335530864 Enrollment ID: I20211217000023 |
| Provider Name | Eboni Charde' Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891447314 PECOS PAC ID: 1658749924 Enrollment ID: I20221116003374 |
| Provider Name | Brandi Rothrock Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750009353 PECOS PAC ID: 6002281342 Enrollment ID: I20230418002917 |
| Provider Name | Derek Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861060600 PECOS PAC ID: 5799140091 Enrollment ID: I20230419003032 |
| Provider Name | Christele Kidibu Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962275313 PECOS PAC ID: 2668916339 Enrollment ID: I20240705000997 |
| Provider Name | Michelle Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831803246 PECOS PAC ID: 3375070261 Enrollment ID: I20241217000086 |
Roy O Fagan Iii Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 419 W Harrison St, Reidsville, NC 27320 Phone: 336-342-4448 Fax: 336-342-4499 | |
Tesfaye D Fanta Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 W Harrison St, Reidsville, NC 27320 Phone: 336-342-9564 Fax: 336-349-9723 | |
Moses Cone Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 S Main St, Reidsville, NC 27320 Phone: 336-951-6070 Fax: 336-634-3940 | |
Moses Cone Affiliated Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Maple Ave, Suite B, Reidsville, NC 27320 Phone: 336-634-3960 Fax: 336-634-3919 | |
The Mcinnis Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1123 S Main St Ste C, Reidsville, NC 27320 Phone: 336-342-4286 Fax: 866-258-0126 | |
Moses Cone Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Scales St, Reidsville, NC 27320 Phone: 336-347-0511 Fax: 336-347-0410 |