Look up the most recent NPI and PECOS records

Teressa Starr

Surgery

Allopathic & Osteopathic Physicians

1638 Owen Dr, Fayetteville, NC 28304-3424

PECOS Enrollment

Based on the most recent information from CMS, provider Teressa Starr is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:10 AM.

Profile Details

Provider ID
1215281167
Provider Type
Individual
Full Name
Starr, Teressa
Credential
DO

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/30/2012
Last Updated
7/29/2024

Contact Information

Practice Location

1638 Owen Dr, Fayetteville, NC 28304-3424

(910) 615-4430

Unlisted Fax

Mailing Location

1638 Owen Dr, Fayetteville, NC 28304-3424

(910) 615-4430

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License DR.0072765 Colorado
Code 172V00000X	Description Community Health Worker Other Service Providers	License Unlisted Issuer

Teressa Starr

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Fayetteville Vascular And Vein Center, Pa

Albrecht, Robert Joseph

Classen, James Anthony

Owen Drive Surgical Clinic Of Fayetteville Pllc

Freitas, Jenna

Mccullough, Daniel G.

Thirunavukarasu, Pragatheeshwar

Schultz, Susan

Nelson, Marsha Criscio

Huttinger, Ryan M