| Amy Destefano, MD | |
|
4420 Lake Boone Trl, Raleigh, NC 27607-7505 | |
| (919) 784-3100 | |
| Not Available |
| Full Name | Amy Destefano |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 4420 Lake Boone Trl, Raleigh, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154421188 | NPI | - | NPPES |
| 891041M | Medicaid | NC | |
| 1041M | Other | NC | BLUE SHIELD |
| P00184463 | Other | NC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 36096 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Destefano, MD 2501 Blue Ridge Rd Ste 250, Raleigh, NC 27607-6346 Ph: (919) 863-4128 | Amy Destefano, MD 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3100 |
Hershell Cassell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-620-4467 | |
Christopher Occhino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4513 Pitt St, Raleigh, NC 27609 Phone: 716-725-9852 Fax: 716-204-4501 | |
Tina M Tamaddon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 | |
Rodney L Mccaskill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 | |
Colleen C Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Damian Francis Mchugh, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
James M Merritt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 |