| Donald Ausbon Edmondson, MD | |
|
4420 Lake Boone Trl, Raleigh, NC 27607-7505 | |
| (919) 784-3034 | |
| Not Available |
| Full Name | Donald Ausbon Edmondson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 40 Years |
| Location | 4420 Lake Boone Trl, Raleigh, 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 |
|---|---|---|---|
| 1093826042 | NPI | - | NPPES |
| 89132EF | Medicaid | NC | |
| 57295 | Other | NC | MEDCOST |
| 050011530 | Other | NC | RAILROAD-MEDICARE |
| 132EF | Other | NC | BCBS NC |
| 21791 | Other | NC | PARTNERS |
| 6506395 | Other | NC | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 33643 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Edgecombe Hospital | Tarboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Carolina Health - Heritage Inc | 4789582594 | 15 |
| Entity Name | East Carolina Health - Heritage Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194703884 PECOS PAC ID: 4789582594 Enrollment ID: O20040702000525 |
| 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 |
|---|---|
| Donald Ausbon Edmondson, MD Po Box 18139, Raleigh, NC 27619-8139 Ph: () - | Donald Ausbon Edmondson, MD 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3034 |
James Belknap Collawn, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 | |
Sean Christopher Selig, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Dr. Peter Albert Modrow, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 312 Meeting House Cir, Raleigh, NC 27615 Phone: 919-870-8833 Fax: 919-870-8833 | |
Jeremy Kenneth Reading, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 Fax: 919-350-7385 | |
Dr. Kevin E Vorenkamp, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3404 Wake Forest Rd Ste 300, Raleigh, NC 27609 Phone: 919-954-3584 Fax: 919-954-3156 | |
Michael Winn Hauser, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3034 | |
Melanie Brooke Lutz, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3034 |