| Dr Requita Marie Demery Lee, MD | |
|
4106 Shipyard Boulevard, Wilmington, NC 28403 | |
| (910) 858-5848 | |
| Not Available |
| Full Name | Dr Requita Marie Demery Lee |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4106 Shipyard Boulevard, Wilmington, 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 |
|---|---|---|---|
| 1376071589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2021-01120 (North Carolina) | Primary |
| Entity Name | Animo Sano Psychiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568043537 PECOS PAC ID: 8729489182 Enrollment ID: O20210623002788 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Requita Marie Demery Lee, MD 536b Spring Forest Rd, Greenville, NC 27834-7237 Ph: (252) 814-5214 | Dr Requita Marie Demery Lee, MD 4106 Shipyard Boulevard, Wilmington, NC 28403 Ph: (910) 858-5848 |
Dr. James Perry Mayo Iii, M.D., MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1426 Navaho Trl Unit 107, Wilmington, NC 28409 Phone: 910-518-8807 Fax: 910-216-4278 | |
Dr. Christopher Robert Myers, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3208 Oleander Dr, Wilmington, NC 28403 Phone: 910-794-3929 Fax: 910-798-2303 | |
Dr. Lionel Gregory Fernando, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5617 Maxwell Pl, Wilmington, NC 28409 Phone: 910-742-9243 Fax: 888-746-1787 | |
Nina Leah Yokochi-funkhouser, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-815-5830 | |
Chih-cheng Frank Chen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1608 Wellington Avenue, Wilmington Neurology Clinic, Wilmington, NC 28401 Phone: 910-395-5521 Fax: 910-350-1123 | |
Dr. Burt Powers Johnson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2023 S 17th St, Wilmington, NC 28401 Phone: 910-251-6499 Fax: 910-251-6511 | |
Dr. Brett A Gurkin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3208 Oleander Dr, Wilmington, NC 28403 Phone: 910-794-3929 Fax: 910-798-2303 |