| Dr Alexis Eccleston, DO | |
|
317 Western Blvd, Jacksonville, NC 28546-6338 | |
| (910) 577-2345 | |
| Not Available |
| Full Name | Dr Alexis Eccleston |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 317 Western Blvd, Jacksonville, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073043196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 95641 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 2020-02740 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial University Medical Center | Savannah, GA | Hospital |
| Meadows Regional Medical Center | Vidalia, GA | Hospital |
| Effingham Health System | Springfield, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Montgomery Emergency Group, Llc | 5395918387 | 20 |
| Entity Name | Montgomery Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alexis Eccleston, DO 1119 Treybrooke Cir, Greenville, NC 27834-9110 Ph: (703) 395-2265 | Dr Alexis Eccleston, DO 317 Western Blvd, Jacksonville, NC 28546-6338 Ph: (910) 577-2345 |
Dr. Stephanie Wodowski, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-577-2240 | |
Tammy Marie Reed, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-712-4210 | |
Yvette Longoria, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-353-1536 | |
John C. Gudger, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-577-2240 Fax: 910-577-2439 | |
James E. Garrett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-577-2240 Fax: 910-577-2439 | |
William Treanor Hosek, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 317 Western Blvd, Dept Of Emergency Medicine, Jacksonville, NC 28546 Phone: 410-577-2240 |