| David Allen Weatherford, MD | |
|
1411 Physicians Drive, Wilmington, NC 28401-7338 | |
| (910) 343-0811 | |
| (910) 343-5719 |
| Full Name | David Allen Weatherford |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 36 Years |
| Location | 1411 Physicians Drive, 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 |
|---|---|---|---|
| 1326131525 | NPI | - | NPPES |
| 1030N | Other | NC | BCBS OF NC INDIVIDUAL # |
| 89-1030N | Medicaid | NC | |
| 891030N | Medicaid | NC | |
| 02003617 | Other | NC | RAILROAD MEDICARE INDV # |
| 1030N | Other | NC | BCBS OF NC |
| 1205252 | Other | NC | INDV. UNITED HEALTHCARE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 97-00417 (North Carolina) | Secondary |
| 208600000X | Surgery | 97-00417 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Novant Health Brunswick Medical Center | Supply, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Carolina Surgical Associates Pa | 4486633005 | 4 |
| Entity Name | Coastal Carolina Surgical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578656773 PECOS PAC ID: 4486633005 Enrollment ID: O20040716001068 |
| Mailing Address | Practice Location Address |
|---|---|
| David Allen Weatherford, MD 1411 Physicians Drive, Wilmington, NC 28401-7338 Ph: (910) 343-0811 | David Allen Weatherford, MD 1411 Physicians Drive, Wilmington, NC 28401-7338 Ph: (910) 343-0811 |
Dr. Gregory Gerard Bebb, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2739 Iron Gate Dr, Wilmington, NC 28412 Phone: 910-763-7363 Fax: 910-251-8296 | |
Dr. Tor Martin Ljung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6752 Parker Farm Dr # 200, Wilmington, NC 28405 Phone: 910-341-3300 Fax: 910-341-3321 | |
Justin Daniel Faulkner, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2739 Iron Gate Dr, Wilmington, NC 28412 Phone: 910-763-7363 Fax: 910-251-8296 | |
Dr. F Alan Hubbard, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1202 Medical Center Dr, Wilmington, NC 28401 Phone: 910-763-6289 Fax: 910-251-1420 | |
Dr. Cyrus A Kotwall, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-343-0161 Fax: 910-772-9452 | |
Emily Fontenot Marcinkowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2739 Iron Gate Dr, Wilmington, NC 28412 Phone: 910-763-7363 Fax: 910-251-8296 | |
Dr. Colston Arthur Edgerton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1725 New Hanover Medical Park Dr, Wilmington, NC 28403 Phone: 910-662-9300 Fax: 910-662-9301 |