| Dr Brianna De Souza, MD | |
|
3200 Blue Ridge Rd Ste 118, Raleigh, NC 27612-8087 | |
| (919) 439-1901 | |
| (919) 439-1906 |
| Full Name | Dr Brianna De Souza |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 3200 Blue Ridge Rd Ste 118, Raleigh, 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 |
|---|---|---|---|
| 1396273215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME146005 (Florida) | Primary |
| 207N00000X | Dermatology | 2018-02230 (North Carolina) | Secondary |
| Entity Name | Academic Alliance In Dermatology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538119722 PECOS PAC ID: 8729077938 Enrollment ID: O20040511001288 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brianna De Souza, MD 3200 Blue Ridge Rd Ste 118, Raleigh, NC 27612-8087 Ph: (919) 439-1901 | Dr Brianna De Souza, MD 3200 Blue Ridge Rd Ste 118, Raleigh, NC 27612-8087 Ph: (919) 439-1901 |
Gregory J Wilmoth, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4201 Lake Boone Trl, Suite 200, Raleigh, NC 27607 Phone: 919-782-2152 Fax: 919-782-7929 | |
Kara V Signorelli, MD Dermatology Medicare: Medicare Enrolled Practice Location: 800 Springfield Commons Dr Ste 115, Raleigh, NC 27609 Phone: 919-876-3656 Fax: 919-876-2351 | |
Dr. Harold S Rabinovitz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1212 Cedarhurst Dr Ste 102, Raleigh, NC 27609 Phone: 919-782-2735 Fax: 919-782-2839 | |
Dr. Carrie Deener Alspaugh, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3225 Blue Ridge Rd, Suite 101, Raleigh, NC 27612 Phone: 919-781-1050 Fax: 919-510-5090 | |
Audrey F Echt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614 Phone: 919-870-6600 Fax: 919-870-1610 | |
Dr. Lisa Abernethy Christman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 800 Springfield Commons Dr Ste 115, Raleigh, NC 27609 Phone: 919-876-3656 Fax: 919-876-2351 | |
Dr. Kendall S Hash, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3225 Blue Ridge Rd, Suite 101, Raleigh, NC 27612 Phone: 919-781-1050 Fax: 919-510-5090 |