| Dr William Gregory Sullivan, MD | |
| 3024 New Bern Ave, Suite 304 - Surgery / Trauma, Raleigh, NC 27610-1247 | |
| (919) 350-8729 | |
| (919) 350-7633 | 
| Full Name | Dr William Gregory Sullivan | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 3024 New Bern Ave, Raleigh, 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 | 
|---|---|---|---|
| 1083783005 | NPI | - | NPPES | 
| 8980874 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 17288 (North Carolina) | Primary | 
| Entity Name | Wakemed Specialists Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr William Gregory Sullivan, MD 3024 New Bern Ave, Suite 300, Raleigh, NC 27610-1247 Ph: (919) 350-8228 | Dr William Gregory Sullivan, MD 3024 New Bern Ave, Suite 304 - Surgery / Trauma, Raleigh, NC 27610-1247 Ph: (919) 350-8729 | 
| Dr. Basil Michael Yurcisin Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607 Phone: 919-784-4200 Fax: 919-784-2708 | |
| Dr. Bo Zhang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7331 | |
| Dr. Luan Tran, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2245 Gateway Access Pt, Suite 315, Raleigh, NC 27607 Phone: 919-510-8900 Fax: 919-510-8977 | |
| Michael Raymond Hall, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300 | |
| Dr. James E Fogartie Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7600 | |
| Dr. Liliana Nanez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300 Fax: 919-784-2301 | |
| Brenna Kate Houlihan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3024 New Bern Ave Ste 102, Raleigh, NC 27610 Phone: 919-350-7331 |