| Dr Albert L Wiley Jr, MD, PHD | |
|
600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC 27858 | |
| (252) 744-2900 | |
| (252) 744-3844 |
| Full Name | Dr Albert L Wiley Jr |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 600 Moye Blvd, Greenville, 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 |
|---|---|---|---|
| 1639152325 | NPI | - | NPPES |
| 5900477 | Medicaid | NC | |
| 87389 | Other | NC | BCBS NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 20363 (North Carolina) | Primary |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Albert L Wiley Jr, MD, PHD Po Box 751069, Charlotte, NC 28275-1069 Ph: (252) 744-3253 | Dr Albert L Wiley Jr, MD, PHD 600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC 27858 Ph: (252) 744-2900 |
Dr. Evan Michael Leitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 529-317-6942 | |
Michael Robert Coan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
George Lee Jordan Iii, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
Dr. Rakesh Devendra Amin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 252-931-7694 | |
Michael David Tripp, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
Dr. Eric Meyer Martin, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 252-931-7694 | |
Aidan Michael Burke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-1888 |