Rachel Ames, PA-C

Individual provider Active NPI Physician Assistant · Camp Lejeune, NC

NPI 1689072845 · NPPES record last updated Sep 30, 2015

Key facts

NPI
1689072845
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
5601007124 (MI)
Practice address
100 Brewster Blvd
100 Brewster Blvd
Camp Lejeune, NC 28547-2538
Phone
(910) 449-2681
NPI assigned
Dec 19, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Coastal Medical and Wellness PLLC (2 clinicians)

Practice addresses (Care Compare)

1537 Freedom Way
Suite 2
Hubert, NC 28539-3647
Phone (910) 238-4268

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 IDStateProvider typePAC IDDetails
I20241212000594 NC Practitioner - Physician Assistant 1557687829 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007124 MI Yes

Addresses

Primary practice location

100 Brewster Blvd
100 Brewster Blvd
Camp Lejeune, NC 28547-2538

Mailing address

100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538
Phone (910) 449-2681

Other providers in Camp Lejeune, NC

All providers in Camp Lejeune, NC · Physician Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.