| Jessica F Delallo, MD | |
|
100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | |
| (910) 450-4860 | |
| Not Available |
| Full Name | Jessica F Delallo |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 100 Brewster Blvd, Camp Lejeune, 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 |
|---|---|---|---|
| 1164950200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | 2023-01191 (North Carolina) | Secondary |
| 208600000X | Surgery | 2023-01191 (North Carolina) | Primary |
| Entity Name | Dhp Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780949032 PECOS PAC ID: 1153570783 Enrollment ID: O20120925000775 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica F Delallo, MD 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (910) 450-4860 | Jessica F Delallo, MD 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (910) 450-4860 |
Danielle Bernal, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4860 | |
Jamie Lynn Fitch, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-3647 | |
Justin T. Frisenda, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-3905 Fax: 910-450-4452 | |
Dr. Robert Paul Hinks, PHD MD Surgery Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, General Surgery Clinic-naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4770 Fax: 910-450-3408 | |
Dr. Julie Green, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4136 Fax: 910-450-4558 | |
Dr. Kenneth M Sample, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4760 |