Southside Medical Center Pa - Medicare Primary Care in Wilmington, NC

Southside Medical Center Pa is a medicare enrolled primary clinic (Family Medicine) in Wilmington, North Carolina. The current practice location for Southside Medical Center Pa is 1925a Oleander Dr, Wilmington, North Carolina. For appointments, you can reach them via phone at (910) 251-7715. The mailing address for Southside Medical Center Pa is 1925a Oleander Dr, Wilmington, North Carolina and phone number is (910) 251-7715.

Southside Medical Center Pa is licensed to practice in North Carolina (license number 29495). The clinic also participates in the medicare program and its NPI number is 1003099409. 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 (910) 251-7715.

Contact Information

Southside Medical Center Pa
1925a Oleander Dr
Wilmington
NC 28403-2334
(910) 251-7715
(910) 763-7845

Primary Care Clinic Profile

Full NameSouthside Medical Center Pa
SpecialityFamily Medicine
Location1925a Oleander Dr, Wilmington, North Carolina
Authorized Official Name and PositionJames Henry Pridgen (MEDICAL DIRECTOR)
Authorized Official Contact9102517715
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southside Medical Center Pa
1925a Oleander Dr
Wilmington
NC 28403-2334

Ph: (910) 251-7715
Southside Medical Center Pa
1925a Oleander Dr
Wilmington
NC 28403-2334

Ph: (910) 251-7715

NPI Details:

NPI Number1003099409
Provider Enumeration Date12/10/2007
Last Update Date05/17/2012

Medicare PECOS Information:

Medicare PECOS PAC ID6305927690
Medicare Enrollment IDO20080111000667

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Medical Identifiers

Medical identifiers for Southside Medical Center Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003099409NPI-NPPES
89012R9MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 29495 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southside Medical Center Pa acts as a billing entity for following providers:
Provider NameJames H Pridgen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215083563
PECOS PAC ID: 9032014154
Enrollment ID: I20041006000438

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