| 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 |
| Location | 317 Western Blvd, Jacksonville, 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 |
|---|---|---|---|
| 1073043196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 95641 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 2020-02740 (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 | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
| 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 |