Marigold Amelia Packheiser (NPI# 1801948997, PAC ID# 4688957517) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801948997 |
| PAC ID by PECOS | 4688957517 |
| Professional Enrollment ID | I20170220000805 |
| Full Name | Marigold Amelia Packheiser |
| Organization Legal Name | LIBERTY MEDICAL CARE SERVICES LLC |
| Address |
7348 N W St Falcon NC 28342-0040 |
| Phone Number | 9109801271 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678898756 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7348 N W St, Falcon, NC 28342-0040 | 9109801271 | LIBERTY MEDICAL CARE SERVICES LLC |
| 121 Racine Dr, Wilmington, NC 28403-8705 | 9104524070 | LIBERTY MEDICAL CARE SERVICES LLC |
| Organization Legal Name | LIBERTY MEDICAL CARE SERVICES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonaleen Ordanes Mori | Nurse Practitioner | Liberty Medical Care Services LLC | 310 Commerce Dr, Sanford, NC 27332-5400 |
| Brandi D Vazquez | Nurse Practitioner | Liberty Medical Care Services LLC | 316 Nc Hwy 801 S, Advance, NC 27006-7647 |
| Sandra A Klug | Nurse Practitioner | Liberty Medical Care Services LLC | 791 Boone Station Dr, Burlington, NC 27215-9775 |
| Street Address |
7348 N W ST |
| City | FALCON |
| State | NC |
| Zip | 28342-0040 |
| City | FALCON |
| Zip Code | 28342 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FALCON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Marigold Amelia Packheiser.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.