| Joseph Ray Haskett Jr, MD | |
|
104 Mark Dr, Edenton, NC 27932-1756 | |
| (252) 482-5171 | |
| (252) 482-5173 |
| Full Name | Joseph Ray Haskett Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 104 Mark Dr, Edenton, 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 |
|---|---|---|---|
| 1669461729 | NPI | - | NPPES |
| 7940397 | Medicaid | NC | |
| 34DO242548 | Other | NC | CLIA |
| 40397 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20912 (North Carolina) | Primary |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Ray Haskett Jr, MD Po Box 1210, 104 Mark Drive, Edenton, NC 27932-1210 Ph: (252) 482-5171 | Joseph Ray Haskett Jr, MD 104 Mark Dr, Edenton, NC 27932-1756 Ph: (252) 482-5171 |
Dr. Michael T Hopkins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Virginia Rd, Edenton, NC 27932 Phone: 252-482-6193 Fax: 252-482-6228 | |
Jeffrey F Severa, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Mark Dr, Edenton, NC 27932 Phone: 252-482-3047 Fax: 252-482-5061 | |
Jaffer Hussain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Mark Dr, Edenton, NC 27932 Phone: 252-482-5171 Fax: 252-482-5173 | |
Roman S Dobransky, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Mark Dr, Edenton, NC 27932 Phone: 252-482-3047 Fax: 252-482-5061 | |
John Stafford Taylor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Mark Dr, Edenton, NC 27932 Phone: 252-482-5171 Fax: 252-482-5173 | |
Gregory Lee Hudson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Virginia Rd, Edenton, NC 27932 Phone: 800-893-9698 |