| Charles Lee Ewell Jr, MD | |
|
615 Shipyard Blvd, Wilmington, NC 28412-6431 | |
| (910) 343-0145 | |
| (910) 341-5779 |
| Full Name | Charles Lee Ewell Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 41 Years |
| Location | 615 Shipyard Blvd, Wilmington, 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 |
|---|---|---|---|
| 1710938535 | NPI | - | NPPES |
| 89136AP | Medicaid | NC | |
| 136AP | Other | NC | BCBS |
| P000950685 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0401X | Internal Medicine - Addiction Medicine | 30982 (North Carolina) | Secondary |
| 207L00000X | Anesthesiology | 30982 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Pender Memorial Hospital | Burgaw, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of North Carolina Pllc | 2961316450 | 322 |
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Southeast Anesthesiology Consultants Pllc | 7719959873 | 73 |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033412267 PECOS PAC ID: 2961316450 Enrollment ID: O20031118000860 |
| Entity Name | Southeast Anesthesiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
| Entity Name | Coastal Horizons Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922022607 PECOS PAC ID: 9739267964 Enrollment ID: O20080429000046 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Lee Ewell Jr, MD 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 | Charles Lee Ewell Jr, MD 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 |
Thomas M Dalton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 | |
Mrs. Chelsea Kaylan Blanchard, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-7000 | |
Barry D Amos, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 | |
Charles L Joachim, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 309 Bridgeton Ct, Wilmington, NC 28411 Phone: 910-681-1262 | |
Virgil E Bean, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 | |
Dr. Mark Christian Grieb, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 S 17th St, Wilmington, NC 28401 Phone: 910-763-4555 Fax: 910-798-8923 | |
John S Pace, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 |