| John Edward Wahlen, MD | |
|
2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 | |
| (252) 752-5000 | |
| (252) 931-7694 |
| Full Name | John Edward Wahlen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 2101 W Arlington Blvd Ste 210, Greenville, 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 |
|---|---|---|---|
| 1184675597 | NPI | - | NPPES |
| 144Y6 | Other | NC | BCBSNC |
| 5908015 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 200700137 (North Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A66173 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Medical Center | Greenville, NC | Hospital |
| Unc Lenoir Health Care | Kinston, NC | Hospital |
| Sentara Albemarle Medical Center | Elizabeth city, NC | Hospital |
| Nash General Hospital | Rocky mount, NC | Hospital |
| Carteret General Hospital | Morehead city, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Radiologists Inc | 2466355383 | 81 |
| Eastern Radiologists Inc | 2466355383 | 81 |
| Entity Name | Adventist Health Delano |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578798047 PECOS PAC ID: 1254248016 Enrollment ID: O20040303000739 |
| Entity Name | Willits Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
| Entity Name | Fullerton Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861451858 PECOS PAC ID: 4587632575 Enrollment ID: O20040917000672 |
| Entity Name | Ukiah Adventist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235120676 PECOS PAC ID: 6406816123 Enrollment ID: O20041015000818 |
| Entity Name | Usc Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
| Entity Name | Radiology Medical Group Of Wmmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831123868 PECOS PAC ID: 0244247864 Enrollment ID: O20060307000489 |
| Entity Name | Los Alamitos Radiology Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005024 PECOS PAC ID: 5092718882 Enrollment ID: O20060816000607 |
| Entity Name | Los Angeles Radiology Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366525487 PECOS PAC ID: 7517968167 Enrollment ID: O20070124000506 |
| Entity Name | Kc Tan, M.d. Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215394036 PECOS PAC ID: 2062719719 Enrollment ID: O20160324000980 |
| Entity Name | Eastern Radiologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215990171 PECOS PAC ID: 2466355383 Enrollment ID: O20211220001399 |
| Mailing Address | Practice Location Address |
|---|---|
| John Edward Wahlen, MD Po Box 30750, Greenville, NC 27833-0750 Ph: (252) 752-5000 | John Edward Wahlen, MD 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 Ph: (252) 752-5000 |
Dr. Evan Michael Leitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 529-317-6942 | |
Michael Robert Coan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
George Lee Jordan Iii, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
Dr. Rakesh Devendra Amin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 252-931-7694 | |
Michael David Tripp, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
Dr. Eric Meyer Martin, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 252-931-7694 | |
Aidan Michael Burke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-1888 |