Michelle Merola Lally, PA-C
Physician Assistant in New Bern, NC. Individual provider (NPI-1).
NPI number1457723488
StatusActive
Last updated in NPPESJan 26, 2023
Details
- NPI
- 1457723488
- Entity type
- Individual (NPI-1)
- Name
- Michelle Merola Lally
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2015
- Certification date
- Jan 26, 2023
- Last updated
- Jan 26, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-12997 | NC | Yes |
| 363A00000X | Physician Assistant | 0110-005127 | VA | |
| 363A00000X | Physician Assistant | PA031196 | DC |
Other names
- Michelle Lynn Merola (Former Name)
Practice location
3110 Wellons BlvdNew Bern, NC 28562-5247
Phone 252-638-2515 · Fax 252-638-8538
Mailing address
Po Box 68Pollocksville, NC 28573-0068
Phone 252-638-2515 · Fax 252-638-8538
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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