| Charles L Egan, DO | |
|
100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | |
| (619) 302-2777 | |
| Not Available |
| Full Name | Charles L Egan |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952371460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 20A16281 (California) | Primary |
| Entity Name | Renaissance Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20031126000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L Egan, DO 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (619) 302-2777 | Charles L Egan, DO 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (619) 302-2777 |
Dr. Jinoh Sandberg, D.O Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 757-472-1298 | |
James J Mucciarone, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Dr. Kristin Mary Wehrung, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Dr. Aaron M Taylor, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4808 | |
Dr. Robert Plympton Rutter Iv, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-111-1111 | |
Dr. Gregory James Hall, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-3905 Fax: 910-450-4558 |