Dr Habtamu Daba Giduma, MD | |
1638 Owen Dr, Fayetteville, NC 28304-3424 | |
(910) 615-5610 | |
(910) 615-9761 |
Full Name | Dr Habtamu Daba Giduma |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 21 Years |
Location | 1638 Owen Dr, Fayetteville, 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 |
---|---|---|---|
1316235906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101260070 (Virginia) | Primary |
207R00000X | Internal Medicine | 201401636 (North Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours St Marys Hospital | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clark Alliance Services Inc | 8325475981 | 12 |
Vituity-virginia Hospitalists Pc | 6507245131 | 72 |
Entity Name | Hospitalist Medicine Physicians Of Virginia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770756991 PECOS PAC ID: 5698842235 Enrollment ID: O20081118000789 |
Entity Name | Hospitalist Medicine Physicians Of Fredericksburg, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447577572 PECOS PAC ID: 7719179407 Enrollment ID: O20101013000902 |
Entity Name | Vibra Physicians Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20131029001765 |
Entity Name | Southeastern Intensivist Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912942665 PECOS PAC ID: 9335152107 Enrollment ID: O20190131001122 |
Entity Name | Clark Alliance Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952892028 PECOS PAC ID: 8325475981 Enrollment ID: O20200221000372 |
Entity Name | Hospitalist Medicine Physicians Of Virginia - Richmond, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699311324 PECOS PAC ID: 2860829207 Enrollment ID: O20200225002340 |
Entity Name | Vituity-virginia Hospitalists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518611011 PECOS PAC ID: 6507245131 Enrollment ID: O20220628001137 |
Mailing Address | Practice Location Address |
---|---|
Dr Habtamu Daba Giduma, MD 1638 Owen Dr, Attn: Managed Care Planning, Fayetteville, NC 28304-3424 Ph: (910) 615-6949 | Dr Habtamu Daba Giduma, MD 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 615-5610 |
Kenneth Melton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-484-8114 Fax: 910-484-1564 | |
Kenneth Russell Manning, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6910 Fax: 910-609-5219 | |
San San Wai, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Sabena Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Stephen S Logue, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304 Phone: 910-483-8080 Fax: 910-483-3258 | |
David Tat, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0110 | |
Dr. Ghanshyam Pradyumna Dwivedi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-483-4680 Fax: 910-484-2704 |