| Dante Neisone Lewis, MD | |
|
3940 Arrowhead Blvd Ste 270, Mebane, NC 27302-7637 | |
| (919) 563-0202 | |
| (919) 563-0242 |
| Full Name | Dante Neisone Lewis |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3940 Arrowhead Blvd Ste 270, Mebane, 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 |
|---|---|---|---|
| 1508843442 | NPI | - | NPPES |
| 30392 | Other | SC | SC MEDICAL LICENSE |
| 4001444 | Other | SC | CIGNA |
| 9630227 | Other | SC | AETNA |
| 20069023 | Other | SC | SELECT HEALTH |
| AA23878552 | Other | SC | MEDICARE PTAN |
| 2019-00846 | Other | NC | NC MEDICAL LICENSE |
| 303923 | Medicaid | SC | |
| 18500 | Other | SC | EVOLUTIONS |
| 5908146 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2019-00846 (North Carolina) | Primary |
| Entity Name | Georgetown Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
| Entity Name | Waccamaw Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
| Entity Name | Eastern Carolina Pediatric Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992749220 PECOS PAC ID: 2163589227 Enrollment ID: O20110909002714 |
| Mailing Address | Practice Location Address |
|---|---|
| Dante Neisone Lewis, MD 530 W Webb Ave, Burlington, NC 27217-3706 Ph: (336) 228-8316 | Dante Neisone Lewis, MD 3940 Arrowhead Blvd Ste 270, Mebane, NC 27302-7637 Ph: (919) 563-0202 |
Diane M Duffy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 943 So Fifth St, Mebane, NC 27302 Phone: 919-563-0202 Fax: 919-563-0242 | |
Karen Jutta Behling, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1352 Mebane Oaks Rd, Mebane, NC 27302 Phone: 919-563-8400 Fax: 919-563-8453 | |
Dr. Eliza Hueda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3940 Arrowhead Blvd, Building A Suite 210, Mebane, NC 27302 Phone: 919-904-4418 | |
Dr. Erin Elizabeth Van Scoyoc, M.D., M.P.H. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 919 S Fifth St, Mebane, NC 27302 Phone: 919-563-2896 Fax: 919-563-2724 |