Family Medicine At Eugene Street - Medicare Primary Care in Greensboro, NC

Family Medicine At Eugene Street is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Greensboro, North Carolina. The current practice location for Family Medicine At Eugene Street is 1002 S Eugene St, Greensboro, North Carolina. For appointments, you can reach them via phone at (336) 355-9701. The mailing address for Family Medicine At Eugene Street is 1002 S Eugene St, Greensboro, North Carolina and phone number is (336) 355-9701.

Family Medicine At Eugene Street is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063712727. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (336) 355-9701.

Contact Information

Family Medicine At Eugene Street
1002 S Eugene St
Greensboro
NC 27406-1308
(336) 355-9701
(336) 676-6140

Primary Care Clinic Profile

Full NameFamily Medicine At Eugene Street
SpecialityClinic/Center
Location1002 S Eugene St, Greensboro, North Carolina
Authorized Official Name and PositionBrian K Ellerby (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact3363559696
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Family Medicine At Eugene Street
1002 S Eugene St
Greensboro
NC 27406-1308

Ph: (336) 355-9701
Family Medicine At Eugene Street
1002 S Eugene St
Greensboro
NC 27406-1308

Ph: (336) 355-9701

NPI Details:

NPI Number1063712727
Provider Enumeration Date10/28/2010
Last Update Date11/26/2013

Medicare PECOS Information:

Medicare PECOS PAC ID1850311986
Medicare Enrollment IDO20111011000583

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Medical Identifiers

Medical identifiers for Family Medicine At Eugene Street such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063712727NPI-NPPES
34D0700291OtherCLIA
2348638AOtherNCMEDICARE PART B
344045AMedicaidNC
3460247OtherNCPDP
56162OtherNCMEDCOST
34-1962OtherNCMEDICARE PART A
344045BMedicaidNC
344045CMedicaidNC
024UFOtherNCBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
3336C0002XPharmacy - Clinic Pharmacy 10670 (North Carolina)Secondary

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