| Dr Koithara Varkey Thomas, MD | |
|
Eastern Nephrology Associates, 277 Memorial Drive, Jacksonville, NC 28546-6333 | |
| (910) 346-2263 | |
| (910) 353-0549 |
| Full Name | Dr Koithara Varkey Thomas |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 36 Years |
| Location | Eastern Nephrology Associates, Jacksonville, 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 |
|---|---|---|---|
| 1265474209 | NPI | - | NPPES |
| 1587680 | Other | NC | UNITED HEALTH CARE |
| 89134WE | Medicaid | NC | |
| 134WE | Other | NC | BC/BS-NC INDIVIDUAL # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 200300295 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Total Renal Care Of North Carolina, Llc | Jacksonville, NC | Dialysis facility |
| Total Renal Care Of North Carolina Llc | Jacksonville, NC | Dialysis facility |
| Onslow Memorial Hospital | Jacksonville, NC | Hospital |
| Wayne Memorial Hospital | Goldsboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Nephrology Associates Pllc | 2264420512 | 71 |
| Entity Name | Eastern Nephrology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417083783 PECOS PAC ID: 2264420512 Enrollment ID: O20040504001638 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Koithara Varkey Thomas, MD 277 Memorial Drive, Jacksonville, NC 28546-6333 Ph: (910) 343-9800 | Dr Koithara Varkey Thomas, MD Eastern Nephrology Associates, 277 Memorial Drive, Jacksonville, NC 28546-6333 Ph: (910) 346-2263 |
Dr. Heidi Worth, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 291 Huff Dr, Jacksonville, NC 28546 Phone: 910-347-2205 | |
Dr. Garrett L Rogers, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 3080 Henderson Dr, Jacksonville, NC 28546 Phone: 910-353-3000 Fax: 910-238-4456 | |
Dr. Ibikunle Adeola Ojebuoboh, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 22 Office Park Dr, Jacksonville, NC 28546 Phone: 910-219-4070 Fax: 910-219-4071 | |
Khye Sheng Andrei Leong, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 152 Memorial Ct, Jacksonville, NC 28546 Phone: 910-353-3200 Fax: 910-353-0600 | |
Dr. Seth James Trifiro, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4275 Western Blvd, Jacksonville, NC 28546 Phone: 910-938-3099 Fax: 910-938-3243 | |
Mr. Earlie T Johnson Jr., M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2580 Henderson Dr, Jacksonville, NC 28546 Phone: 910-346-1188 Fax: 910-346-1275 |