Elizabeth Anne Bachiochi, PA-C

Individual provider Active NPI Physician Assistant · Henderson, NC

NPI 1710078860 · NPPES record last updated Sep 11, 2009

Key facts

NPI
1710078860
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
0010-01993 (NC)
Practice address
451 Ruin Creek Rd
Suite 101
Henderson, NC 27536-2878
Phone
(252) 492-9565
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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 participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0010-01993NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cornelius F. Cathcart, Pediatrics,PA Past Accepting new patients
Cornelius F. Cathcart, Pediatrics, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabeth.bachiochi.p1@direct.ncpedsassociates.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-01993 NC Yes

Addresses

Primary practice location

451 Ruin Creek Rd
Suite 101
Henderson, NC 27536-2878

Mailing address

1194 Old Still Way
Wake Forest, NC 27587
Phone (919) 539-3621

Other providers in Henderson, NC

All providers in Henderson, NC · Physician Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.