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Eleanor Anne Sprague

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3200 Northline Ave Ste 200, Greensboro, NC 27408-7602

PECOS Enrollment

This provider is enrolled in PECOS as ELEANOR SPRAGUE.

Based on the most recent information from CMS, provider Eleanor Anne Sprague 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 11:21 AM.

Profile Details

Provider ID
1679392187
Provider Type
Individual
Full Name
Sprague, Eleanor Anne
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/10/2024
Last Updated
12/3/2024

Contact Information

Practice Location

3200 Northline Ave Ste 200, Greensboro, NC 27408-7602

(336) 545-5006

Unlisted Fax

Mailing Location

PO Box 5105, Belfast, ME 04915-5100

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-14900 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 0010-14900	Description Other	Issuer MEDICAL LICENSE North Carolina

Eleanor Anne Sprague

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Donovan, Ashley Rose

Stevens, Kelly

Shuford, Tracy A

Ward, Jessica Zanetto

Floyd, Bethany Foster

Rayburn, Shawn Montgomery

Chabon, Stephen J

Wirth, Andrew

Collins, Emma Maureen

Gale, Amber Nicole