1530 UNION RD STE A
GASTONIA, NC 28054-2201 US PECOS Enrolled
Grace Ilex Thompson-Byrum
Physician Assistant
- GASTONIA, NC
- Phone: (704)-867-6188
- Last Updated 9/29/2022
Overview
Grace Ilex Thompson-Byrum is a Physician Assistant in the GASTONIA area. Grace Ilex Thompson-Byrum primary office location is at 1530 UNION RD STE A and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164151288 and the information was updated approximately 2 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 0010-12338 | NC |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Physician Assistant - Taxonomy Code 363A00000X | NC | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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