| Dr Willard L Mccloud Jr, MD | |
|
204 Becker Dr, Roanoke Rapids, NC 27870-3134 | |
| (252) 537-8193 | |
| (252) 537-0589 |
| Full Name | Dr Willard L Mccloud Jr |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 48 Years |
| Location | 204 Becker Dr, Roanoke Rapids, 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 |
|---|---|---|---|
| 1891831905 | NPI | - | NPPES |
| 8955819 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 24685 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-atlantic Eye Physicians, Pa | 4880672815 | 2 |
| Mid-atlantic Eye Physicians, Pa | 4880672815 | 2 |
| Entity Name | Mid-atlantic Eye Physicians, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215984331 PECOS PAC ID: 4880672815 Enrollment ID: O20040707001478 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Willard L Mccloud Jr, MD 204 Becker Dr, Roanoke Rapids, NC 27870-3134 Ph: (252) 537-8193 | Dr Willard L Mccloud Jr, MD 204 Becker Dr, Roanoke Rapids, NC 27870-3134 Ph: (252) 537-8193 |
Mr. Alan S Luria, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 204 Becker Dr., Roanoke Rapids, NC 27870 Phone: 252-537-8193 Fax: 252-537-0589 | |
Mr. James Paul Pulaski, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 204 Becker Dr, Roanoke Rapids, NC 27870 Phone: 252-537-8193 Fax: 252-537-0589 | |
Brian R Crichlow, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 204 Becker Dr, Roanoke Rapids, NC 27870 Phone: 252-537-8193 Fax: 252-537-0589 |