Bethany J Sprague (NPI# 1538461967, PAC ID# 1355520115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538461967 |
| PAC ID by PECOS | 1355520115 |
| Professional Enrollment ID | I20110125001087 |
| Full Name | Bethany J Sprague |
| Organization Legal Name | INTEGRA REHABILITATION PHYSICIANS PLLC |
| Address |
11220 Elm Ln Suite 102 Charlotte NC 28277-0716 |
| Phone Number | 7045570500 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577720937 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340051 | WATAUGA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0716 | 7045570500 | INTEGRA REHABILITATION PHYSICIANS PLLC |
| 1040 Edgewater Corporate Pkwy, Suite 104, Indian Land, SC 29707-4526 | 7045570500 | INTEGRA REHABILITATION PHYSICIANS PLLC |
| Organization Legal Name | INTEGRA REHABILITATION PHYSICIANS PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila Natarajan | Physical Medicine and Rehabilitation | Integra Rehabilitation Physicians Pllc | 1040 Edgewater Corporate Pkwy, Suite 104, Indian Land, SC 29707-4526 |
| Sharon K Kanelos | Physical Medicine and Rehabilitation | Integra Rehabilitation Physicians Pllc | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0716 |
| Street Address |
11220 ELM LN SUITE 102 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28277-0716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tabitha L Alford | Nurse Practitioner | Life Line Community Healthcare | 11220 Elm Ln, Suite 202, Charlotte, NC 28277-0450 |
| Sharon K Kanelos | Physical Medicine and Rehabilitation | Integra Rehabilitation Physicians Pllc | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0716 |
| James K Liu | Cardiovascular Disease (cardiology) | 11220 Elm Ln, Suite 200, Charlotte, NC 28277-0450 | |
| Charles Gray Shore | Nurse Practitioner | Life Line Community Healthcare | 11220 Elm Ln, Suite 202, Charlotte, NC 28277-0450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica B Bell | Nurse Practitioner | Novant Medical Group Inc | 14215 Ballantyne Corp Pl, Suite 230, Charlotte, NC 28277 |
| Mary M Cummins | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| James L Seward | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Keri Anne Squittieri | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Elizabeth G Grattan | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Jocelyn E Larocque | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Lisa Michelle Matuga | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Lesslie A Marquez-durst | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Jeffrey A Seegers | Physician Assistant | Carolina Family Healthcare, Pa | 11220 Elm Lane, Suite 102, Charlotte, NC 28277-0716 |
| Dino Peter Kanelos | Family Medicine | Carolina Family Healthcare, Pa | 11220 Elm Lane, Suite 102, Charlotte, NC 28277-0716 |
| Find all physicians in zip 28277 | |||
| City | CHARLOTTE |
| Zip Code | 28277 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHARLOTTE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Bethany J Sprague.
| 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.