Tall Oaks Family Practice - Medicare Primary Care in Mooresville, NC

Tall Oaks Family Practice is a medicare enrolled primary clinic (Family Medicine) in Mooresville, North Carolina. The current practice location for Tall Oaks Family Practice is 798 Oak Ridge Farm Rd., Suite A, Mooresville, North Carolina. For appointments, you can reach them via phone at (704) 658-0011. The mailing address for Tall Oaks Family Practice is 798 Oak Ridge Farm Rd., Suite A, Mooresville, North Carolina and phone number is (704) 658-0011.

Tall Oaks Family Practice is licensed to practice in North Carolina (license number 101555). The clinic also participates in the medicare program and its NPI number is 1235198482. 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 (704) 658-0011.

Contact Information

Tall Oaks Family Practice
798 Oak Ridge Farm Rd.
Suite A
Mooresville
NC 28115
(704) 658-0011
(704) 658-0012

Primary Care Clinic Profile

Full NameTall Oaks Family Practice
SpecialityFamily Medicine
Location798 Oak Ridge Farm Rd., Mooresville, North Carolina
Authorized Official Name and PositionKevin B Vanhoy (OWNER, PROVIDER)
Authorized Official Contact7046580011
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tall Oaks Family Practice
798 Oak Ridge Farm Rd.
Suite A
Mooresville
NC 28115

Ph: (704) 658-0011
Tall Oaks Family Practice
798 Oak Ridge Farm Rd.
Suite A
Mooresville
NC 28115

Ph: (704) 658-0011

NPI Details:

NPI Number1235198482
Provider Enumeration Date03/17/2006
Last Update Date05/04/2010

Medicare PECOS Information:

Medicare PECOS PAC ID9234020421
Medicare Enrollment IDO20040324001653

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Medical Identifiers

Medical identifiers for Tall Oaks Family Practice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235198482NPI-NPPES
891108XMedicaidNC
012NEOtherNCBCBS ID#
89012NEMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 101555 (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. Tall Oaks Family Practice acts as a billing entity for following providers:
Provider NameRonald C Huffman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730182957
PECOS PAC ID: 4688666332
Enrollment ID: I20040401000821

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