| Dr Ricardo De Leon, MD | |
|
557 Brookdale Dr, Statesville, NC 28677-4107 | |
| (704) 873-5661 | |
| Not Available |
| Full Name | Dr Ricardo De Leon |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 557 Brookdale Dr, Statesville, 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 |
|---|---|---|---|
| 1639402795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 099138 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 2012-01869 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Watauga Medical Center | Boone, NC | Hospital |
| Charles A Cannon Jr Memorial Hospital | Linville, NC | Hospital |
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Watauga Medical Center Inc | 2668377474 | 75 |
| Charles A Cannon Jr Memorial Hospital Inc | 3274426952 | 22 |
| Entity Name | Watauga Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528134194 PECOS PAC ID: 2668377474 Enrollment ID: O20040210000805 |
| Entity Name | Charles A Cannon Jr Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821403957 PECOS PAC ID: 3274426952 Enrollment ID: O20140813002123 |
| Entity Name | Hospitalist Solution Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457853079 PECOS PAC ID: 1759630510 Enrollment ID: O20180828001317 |
| Entity Name | T4 Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699546861 PECOS PAC ID: 0244769156 Enrollment ID: O20250122001838 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ricardo De Leon, MD 108 S Main St, Davidson, NC 28036-8096 Ph: (704) 997-5525 | Dr Ricardo De Leon, MD 557 Brookdale Dr, Statesville, NC 28677-4107 Ph: (704) 873-5661 |
Virginia Fredericka Wright, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1022 Shelton Ave, Statesville, NC 28677 Phone: 704-838-1234 Fax: 704-768-2081 | |
Jose Eduardo Perez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-8240 Fax: 704-384-5360 | |
Mr. Raj Kumar Joshi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 276 Old Mocksville Rd, Suite 105, Statesville, NC 28625 Phone: 704-883-8262 Fax: 704-883-8252 | |
Dr. Nasib Ayoubi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 770 Hartness Rd, Statesville, NC 28677 Phone: 704-872-6810 | |
Kevin Michael Lamm, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-878-2021 Fax: 704-878-2022 | |
Elias David Ruiz Valdez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5661 | |
Neil M Kassman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 208 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-8215 |