| Jennifer L Raley, MD | |
|
3000 New Bern Ave, Raleigh, NC 27610-1295 | |
| (843) 237-3378 | |
| (919) 350-8000 |
| Full Name | Jennifer L Raley |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 3000 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 |
|---|---|---|---|
| 1811959075 | NPI | - | NPPES |
| 1268F | Other | NC | BCBS |
| 930102935 | Other | NC | RAILROAD |
| Q01296 | Medicaid | SC | |
| 891268F | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 9901296 (North Carolina) | Primary |
| Entity Name | Wake Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922063387 PECOS PAC ID: 9931002078 Enrollment ID: O20040128000295 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Raley, MD 8 Oak Park Dr, Bedford, MA 01730-1414 Ph: (781) 280-1699 | Jennifer L Raley, MD 3000 New Bern Ave, Raleigh, NC 27610-1295 Ph: (843) 237-3378 |
Hershell Cassell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-620-4467 | |
Christopher Occhino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4513 Pitt St, Raleigh, NC 27609 Phone: 716-725-9852 Fax: 716-204-4501 | |
Tina M Tamaddon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 | |
Rodney L Mccaskill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 | |
Colleen C Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Damian Francis Mchugh, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
James M Merritt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 |