| Elias Emile Ayli, DO | |
|
11640 Northpark Dr Ste 200, Wake Forest, NC 27587-5741 | |
| (919) 436-4124 | |
| (919) 439-9645 |
| Full Name | Elias Emile Ayli |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 19 Years |
| Location | 11640 Northpark Dr Ste 200, Wake Forest, 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 |
|---|---|---|---|
| 1376706101 | NPI | - | NPPES |
| 2017-02073 | Other | NC | NC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2017-02073 (North Carolina) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 201702073 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Skin Cancer Center, Pa | 0244573319 | 8 |
| Entity Name | Kenneth L Klein |
|---|---|
| Entity Type | Practitioner - Dermatology |
| Entity Identifiers | NPI Number: 1174507990 PECOS PAC ID: 0143414151 Enrollment ID: I20101103001339 |
| Entity Name | Wake Skin Cancer Center, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497211189 PECOS PAC ID: 0244573319 Enrollment ID: O20190514001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Elias Emile Ayli, DO 3330 Cumberland Blvd Se Ste 200, Atlanta, GA 30339-5996 Ph: (770) 951-8427 | Elias Emile Ayli, DO 11640 Northpark Dr Ste 200, Wake Forest, NC 27587-5741 Ph: (919) 436-4124 |
Dr. Edward Michael Galiczynski Jr., DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11640 Northpark Dr Ste 200, Wake Forest, NC 27587 Phone: 919-436-4124 Fax: 919-439-9645 | |
Lauren Kramer, NP Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11640 Northpark Dr Ste 200, Wake Forest, NC 27587 Phone: 919-307-9461 |