| Dr Ada M Conway, MD | |
|
403 Fairview St, Clinton, NC 28328-2399 | |
| (910) 592-6011 | |
| (910) 590-0816 |
| Full Name | Dr Ada M Conway |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 403 Fairview St, Clinton, 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 |
|---|---|---|---|
| 1598700692 | NPI | - | NPPES |
| 5483676 | Other | NC | AETNA |
| 00365518 | Medicaid | NC | |
| 182933 | Other | NC | MEDCOST |
| 140RH | Other | NC | NC BLUE CROSS BLUE SHIELD |
| 1944154 | Other | NC | UNITED HEALTHCARE |
| 9104294 | Other | NC | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2005-01080 (North Carolina) | Primary |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ada M Conway, MD 1604 Timberlake Dr, Clinton, NC 28328-8227 Ph: (910) 385-7551 | Dr Ada M Conway, MD 403 Fairview St, Clinton, NC 28328-2399 Ph: (910) 592-6011 |
Shane Megan Sundlie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0819 | |
Dr. Rufus M. Herring Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-590-0605 Fax: 910-592-0811 | |
Teague Lon Horton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811 | |
Subodh Pal, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-590-8729 Fax: 910-590-2321 | |
Mary Katrina Snyder Gaylord, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-952-0819 | |
Dr. William C. Carr, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 |