Delphine Zelaski, P.A.C.
Individual provider Active NPI Medical Physician Assistant · Robersonville, NC
NPI 1497868665 · NPPES record last updated Feb 14, 2022
Key facts
- NPI
- 1497868665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 10087 (NC)
- Practice address
- 504 N. Main Street
Robersonville, NC 27871 - Phone
- (252) 795-5555
- Fax
- (252) 795-5566
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100909000658 | NC | Practitioner - Physician Assistant | 6709901085 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10087 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamston Clinic Corp | Past |
Accepting new patients |
Interoperability endpoints
- zelaski.delphine.005.0330112@roph.meditab.direct-ci.com
- zelaski.delphine.006.0330112@roph.meditab.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10087 | NC | Yes |
Addresses
Primary practice location
504 N. Main Street
Robersonville, NC 27871
Mailing address
504 N. Main Street
Robersonville, NC 27871
Phone (252) 795-5555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58033 | Other | NC | BLUE CROSS BLUE SHIELD |
| 970020487 | Other | RAILROAD MEDICARE | |
| 8958033 | Medicaid | NC |
Other providers in Robersonville, NC
- Spectrum of Martin County, LTD
- Total Renal Care of North Carolina LLC
- Town of Robersonville
- Ki-Bong Um
- Village Pharmacy Inc
All providers in Robersonville, NC · Medical Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.