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John Martin Novales

Family Medicine

Allopathic & Osteopathic Physicians

1601 Owen Dr, Fayetteville, NC 28304-3425

PECOS Enrollment

This provider is enrolled in PECOS as JOHN NOVALES.

Based on the most recent information from CMS, provider John Martin Novales 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 5 days ago.

Profile Details

Provider ID
1518229525
Provider Type
Individual
Full Name
Novales, John Martin
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/14/2012
Last Updated
6/14/2012

Contact Information

Practice Location

1601 Owen Dr, Fayetteville, NC 28304-3425

(910) 323-1152

(910) 678-0115

Mailing Location

1601 Owen Dr, Fayetteville, NC 28304-3425

(910) 323-1152

(910) 678-0115

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 184093 North Carolina

John Martin Novales

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Trujillo, Joshua A.

Bui, Bao-Anh Ngoc

De La Guerra, Justin Andrew

Villanueva, Arielle

Clinton, Robert Allen

Augustine, Nida Rauf

Fayetteville Family Extended Care

Seikali, Roy

Hines, Kristina Ashley

Dba Cumberland Family Practice