Family Medicine At Eugene Street is an authorized DME supplier for medicare equipments and products.
Family Medicine At Eugene Street is a Federally Qualified Health Center (FQHC) in Greensboro, North Carolina. This pharmacy is owned and operated by Triad Adult And Pediatric Medicine, Inc.. It is located at 1002 S Eugene St, Greensboro and it's customer support contact number is 336-355-9701. The authorized person of Family Medicine At Eugene Street is Mr. Brian K Ellerby, MSPH who is Chief Executive Officer of the pharmacy and his contact number is 336-355-9696.Family Medicine At Eugene Street accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Family Medicine At Eugene Street is definition to come...
Pharmacy Details:
Family Medicine At Eugene Street type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Family Medicine At Eugene Street
Type:
Federally Qualified Health Center (FQHC)
Location:
1002 S Eugene St, Greensboro, North Carolina, 27406-1308
Phone:
336-355-9701
Fax:
336-676-6140
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Brian K Ellerby
Credentials:
MSPH
Position:
Chief Executive Officer
Contact Number:
336-355-9696
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1063712727
NPI Enumeration Date:
28 Oct, 2010
NPI Last Update On:
26 Nov, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Family Medicine At Eugene Street are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
Clinic Pharmacy
10670
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
34D0700291
Other
Clia
2348638A
Other
North Carolina
Medicare Part B
344045A
Medicaid
North Carolina
3460247
Other
Ncpdp
56162
Other
North Carolina
Medcost
34-1962
Other
North Carolina
Medicare Part A
344045B
Medicaid
North Carolina
344045C
Medicaid
North Carolina
024UF
Other
North Carolina
Bcbs
Medicare Enrollment:
Family Medicine At Eugene Street is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1850311986
O20111011000583
Triad Adult And Pediatric Medicine, Inc.
PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1002 S Eugene St, Greensboro, North Carolina
Zip:
27406-1308
Phone Number:
336-355-9701
Fax Number:
336-676-6140
Patients can reach Family Medicine At Eugene Street at 1002 S Eugene St, Greensboro, North Carolina or can call on customer care at 336-355-9701.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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