| Anton Travis Manasco, MD | |
|
3000 New Bern Ave, Raleigh, NC 27610-1231 | |
| (919) 350-7270 | |
| Not Available |
| Full Name | Anton Travis Manasco |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 12 Years |
| Location | 3000 New Bern Ave, Raleigh, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447592522 | NPI | - | NPPES |
| 1447592522 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LC0200X | Anesthesiology - Critical Care Medicine | 2019-00652 (North Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 2019-00652 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wakemed, Raleigh Campus | Raleigh, NC | Hospital |
| Wakemed, Cary Hospital | Cary, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wakemed Specialists Group Llc | 2466788377 | 774 |
| Entity Name | Wakemed Specialists Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Anton Travis Manasco, MD Po Box 603949, Charlotte, NC 28260-3949 Ph: (919) 350-0351 | Anton Travis Manasco, MD 3000 New Bern Ave, Raleigh, NC 27610-1231 Ph: (919) 350-7270 |
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: Medicare Enrolled 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 |