| Dr Jeffrey Arthur Dvergsten, MD | |
|
2100 Erwin Rd, Durham, NC 27705-3941 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | Dr Jeffrey Arthur Dvergsten |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Rheumatology |
| Location | 2100 Erwin Rd, 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 |
|---|---|---|---|
| 1871521443 | NPI | - | NPPES |
| 631T9DV | Other | MN | BCBS |
| HP37914 | Other | MN | HEALTHPARTNERS |
| 12-03423 | Other | MN | MEDICA CHOICE |
| 12-09026 | Other | MN | MEDICA CHOICE |
| 0597021 | Medicaid | MN | |
| 0147475 | Medicaid | MT | |
| 171323 | Other | MN | UCARE |
| 1864181 | Other | MN | ARAZ |
| 34800400 | Medicaid | WI | |
| 552443100 | Medicaid | MN | |
| 1033631 | Other | MN | PREFERRED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 45211 (Minnesota) | Secondary |
| 2080P0216X | Pediatrics - Pediatric Rheumatology | 2010-01376 (North Carolina) | Primary |
| Entity Name | University Of North Carolina At Chapel Hill |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Arthur Dvergsten, MD 2100 Erwin Rd, Durham, NC 27705-3941 Ph: (919) 684-8111 | Dr Jeffrey Arthur Dvergsten, MD 2100 Erwin Rd, Durham, NC 27705-3941 Ph: (919) 684-8111 |
Candice Marlow Ray, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111 | |
Vinod Prasad, Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 | |
Michelle Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Duke University Medical Ctr, Durham, NC 27710 Phone: 919-620-4467 | |
Naseem Alavian, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Anna Ruderman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4022 Freedom Lake Dr, Durham, NC 27704 Phone: 919-477-2202 | |
Dr. Vijaya Kumar Konda Reddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
May Kuo Slowik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 |