| Dr David Ryan Worthen, MD | |
|
604 Amanda St, Manteo, NC 27954-9039 | |
| (252) 473-3478 | |
| (252) 473-3600 |
| Full Name | Dr David Ryan Worthen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 604 Amanda St, Manteo, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255727004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2022-01214 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dare Home Health And Dare Hospice | Manteo, NC | Home health agency |
| Albemarle Home Care And Hospice | Elizabeth city, NC | Home health agency |
| The Outer Banks Hospital, Inc | Nags head, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Outer Banks Professional Services, Llc | 3173652096 | 120 |
| 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 David Ryan Worthen, MD 604 Amanda St, Manteo, NC 27954-9039 Ph: (252) 473-3478 | Dr David Ryan Worthen, MD 604 Amanda St, Manteo, NC 27954-9039 Ph: (252) 473-3478 |
Dr. Johnny Lee Farrow, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 715 Us Highway 64, Manteo, NC 27954 Phone: 252-473-2500 Fax: 252-473-1222 | |
Ann C. Sumners, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 Amanda St, Manteo, NC 27954 Phone: 252-473-3478 Fax: 252-473-3600 | |
Walter L Holton, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 604 Amanda St, Manteo, NC 27954 Phone: 252-473-3478 |