| Dr Shaun Michael Deese, MD | |
|
2131 S 17th St, Wilmington, NC 28401-7407 | |
| (910) 341-3300 | |
| (910) 251-2067 |
| Full Name | Dr Shaun Michael Deese |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2131 S 17th St, 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 |
|---|---|---|---|
| 1457618084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2018-01811 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 2017-01811 (North Carolina) | Primary |
| Entity Name | Wilmington Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881632339 PECOS PAC ID: 6103722509 Enrollment ID: O20031208000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shaun Michael Deese, MD 1202 Medical Center Drive, Wilmington, NC 28401-7307 Ph: (910) 341-3300 | Dr Shaun Michael Deese, MD 2131 S 17th St, Wilmington, NC 28401-7407 Ph: (910) 341-3300 |
Dr. James Carden Mccabe, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1302 Medical Center Dr, Wilmington, NC 28401 Phone: 910-343-9800 Fax: 910-343-9800 | |
Michael Mundy Ward, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2215 Canterwood Dr, Wilmington, NC 28401 Phone: 910-762-4600 Fax: 910-762-9483 | |
Latessa Spiers, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1960 S 16th St, Wilmington, NC 28401 Phone: 910-343-9991 Fax: 910-550-3787 | |
Dr. Kavita S Persaud, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5919 Oleander Dr Ste 109, Wilmington, NC 28403 Phone: 910-799-5508 Fax: 910-202-0654 | |
Dr. Regina Marie Jensen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4536 Technology Dr, Ste 3, Wilmington, NC 28405 Phone: 910-343-8411 Fax: 910-343-8414 | |
Mary Kathryn Rudyk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1709 S 16th St Ste A, Wilmington, NC 28401 Phone: 910-452-8633 Fax: 910-452-8569 | |
Gregory Roberts, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 Medical Center Dr, Wilmington, NC 28401 Phone: 910-341-3300 Fax: 910-341-7946 |