| Dr Edward Joseph Ricciardelli, MD | |
|
1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403 | |
| (910) 794-5355 | |
| (910) 794-5358 |
| Full Name | Dr Edward Joseph Ricciardelli |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 37 Years |
| Location | 1717 Shipyard Blvd, Wilmington, 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 |
|---|---|---|---|
| 1073518064 | NPI | - | NPPES |
| 011E3 | Other | NC | BLUE CROSS GROUP ID |
| 8971471 | Medicaid | NC | |
| 71471 | Other | NC | BLUE CROSS INDIVIDUAL |
| 1328886 | Other | NC | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 9600699 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Cosmetic Surgery Center,pa | 7911973987 | 11 |
| Entity Name | Summit Cosmetic Surgery Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922061092 PECOS PAC ID: 7911973987 Enrollment ID: O20040909001391 |
| Entity Name | Summit Plastic Surgery & Dermatology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437749330 PECOS PAC ID: 1153723531 Enrollment ID: O20210707002895 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Joseph Ricciardelli, MD 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403 Ph: (910) 794-5355 | Dr Edward Joseph Ricciardelli, MD 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403 Ph: (910) 794-5355 |
Adam Daniel Glener, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2305 Canterwood Dr, Wilmington, NC 28401 Phone: 910-343-0119 Fax: 910-343-8983 | |
Dr. Anthony Azzolini, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1911 S 17th St Ste 100, Wilmington, NC 28401 Phone: 910-225-4842 Fax: 910-226-0294 | |
Dr. Casey Gene Sheck, D.O. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1122 Medical Center Dr, Wilmington, NC 28401 Phone: 910-338-5900 | |
Thomas G. Pottle, M D Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5305 Wrightsville Ave Ste K, Wilmington, NC 28403 Phone: 910-452-2175 Fax: 910-452-1962 | |
Luther Hamilton Holton Iii, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1725 New Hanover Medical Park Dr, Wilmington, NC 28403 Phone: 910-662-9331 Fax: 910-662-2403 |