Dr Tracie Manuel Bellanger, MD | |
103 Country Club Dr, Fayetteville, NC 28301-7603 | |
(910) 400-7002 | |
Not Available |
Full Name | Dr Tracie Manuel Bellanger |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 24 Years |
Location | 103 Country Club Dr, Fayetteville, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164454849 | NPI | - | NPPES |
1569119 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 24891 (Louisiana) | Secondary |
207R00000X | Internal Medicine | 2009-01134 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Five Points Home Health | Fayetteville, NC | Home health agency |
Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Theoria Medical | 5395098339 | 90 |
Osh-mi Physicians Group Pc | 7810282191 | 126 |
Entity Name | Osh-mi Physicians Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033766092 PECOS PAC ID: 7810282191 Enrollment ID: O20191118000511 |
Entity Name | Theoria Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20210429000604 |
Mailing Address | Practice Location Address |
---|---|
Dr Tracie Manuel Bellanger, MD 606 Beaman St, Clinton, NC 28328-2604 Ph: (910) 596-0061 | Dr Tracie Manuel Bellanger, MD 103 Country Club Dr, Fayetteville, NC 28301-7603 Ph: (910) 400-7002 |
Kenneth Melton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-484-8114 Fax: 910-484-1564 | |
Kenneth Russell Manning, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6910 Fax: 910-609-5219 | |
San San Wai, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Sabena Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Stephen S Logue, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304 Phone: 910-483-8080 Fax: 910-483-3258 | |
David Tat, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0110 | |
Dr. Ghanshyam Pradyumna Dwivedi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-483-4680 Fax: 910-484-2704 |