Provider Demographics
NPI:1114958642
Name:BESSENT, YVETTE ELAINE (MD)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:ELAINE
Last Name:BESSENT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 601067
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1067
Mailing Address - Country:US
Mailing Address - Phone:704-801-2130
Mailing Address - Fax:704-801-2131
Practice Address - Street 1:16455 STATESVILLE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7135
Practice Address - Country:US
Practice Address - Phone:704-801-2130
Practice Address - Fax:704-801-2131
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700024207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2234751OtherRAILROAD MEDICARE
NC1114958642Medicaid
NC891019RMedicaid
NC1019ROtherNCBCBS
NC1114958642Medicaid
NC2234751OtherRAILROAD MEDICARE