| Dieter Tetatah Wefuan, MD | |
|
401 N Main St, Kenansville, NC 28349-8801 | |
| (252) 214-8598 | |
| Not Available |
| Full Name | Dieter Tetatah Wefuan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 401 N Main St, Kenansville, 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 |
|---|---|---|---|
| 1073834917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2013-02459 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 2013-02459 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical City Alliance | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Questcare Hospitalists Pllc | 5799785119 | 274 |
| Entity Name | Questcare Hospitalists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265441620 PECOS PAC ID: 5799785119 Enrollment ID: O20070109000581 |
| Mailing Address | Practice Location Address |
|---|---|
| Dieter Tetatah Wefuan, MD 1444 S 17th St, Wilmington, NC 28401-6436 Ph: (910) 793-4311 | Dieter Tetatah Wefuan, MD 401 N Main St, Kenansville, NC 28349-8801 Ph: (252) 214-8598 |
Dr. Benjamin Lloyd Byerly, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Kenansville, NC 28349 Phone: 910-296-0941 Fax: 910-296-1174 | |
Zachary Glenn Sutton, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Kenansville, NC 28349 Phone: 910-296-0941 | |
Dr. Jonathan Hargett Kornegay, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Vidant Duplin Hospital, Kenansville, NC 28349 Phone: 910-296-2790 | |
Mrs. Corazon Ngo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 Duplin St, Kenansville, NC 28349 Phone: 910-296-1811 Fax: 910-296-0862 | |
Sri Lakshmi Jasthy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Kenansville, NC 28349 Phone: 910-296-8880 Fax: 910-296-2700 |