| Dr Clare M Haystead, | |
| 4101 N Roxboro St, Durham, NC 27704-2121 | |
| (919) 684-8111 | |
| Not Available | 
| Full Name | Dr Clare M Haystead | 
|---|---|
| Gender | Female | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 4101 N Roxboro St, Durham, 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 | 
|---|---|---|---|
| 1063508133 | NPI | - | NPPES | 
| 5901430 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | (North Carolina) | Primary | 
| Entity Name | North Shore-lij Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20220127000046 | 
| Entity Name | Southside Faculty Medical Affiliates University Faculty Prac | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033791058 PECOS PAC ID: 5698175933 Enrollment ID: O20220602000622 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Clare M Haystead, 4101 N Roxboro St, Durham, NC 27704-2121 Ph: (919) 684-8111 | Dr Clare M Haystead, 4101 N Roxboro St, Durham, NC 27704-2121 Ph: (919) 684-8111 | 
| Mary Margaret Woodruff,  Radiology Medicare: Not Enrolled in Medicare Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-6111 | |
| Dr. Roger L Cothran Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 | |
| Zachary Angel,  Radiology Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
| Reginald R Pareja, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3022 Croasdaile Dr Ste 101, Durham, NC 27705 Phone: 877-780-5559 | |
| Mamata Myneni,  Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Banner Good Samaritan Medical Center, Durham, NC 27705 Phone: 919-684-8111 | |
| Dr. Matthew Jacob Boyer, M.D., PH.D. Radiology Medicare: Medicare Enrolled Practice Location: Durham Vamc Department Of Radiation Oncology, 508 Fulton St, Durham, NC 27705 Phone: 919-286-6996 | |
| Hersh Rajesh Patel, MD Radiology Medicare: Medicare Enrolled Practice Location: Duke University Medical Center, Durham, NC 27710 Phone: 919-684-2711 |