| Joshua Adam Wallace, MD MPH | |
|
101 Manning Dr, Chapel Hill, NC 27514-4220 | |
| (919) 966-7890 | |
| Not Available |
| Full Name | Joshua Adam Wallace |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 101 Manning Dr, Chapel Hill, 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 |
|---|---|---|---|
| 1306259833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2015-01948 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Medical Center | Greenville, NC | Hospital |
| Nash General Hospital | Rocky mount, NC | Hospital |
| Carteret General Hospital | Morehead city, NC | Hospital |
| Halifax Regional Medical Center Inc | Roanoke rapids, NC | Hospital |
| The Outer Banks Hospital, Inc | Nags head, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Carolina University | 0244143246 | 444 |
| University Of North Carolina At Chapel Hill | 0648181156 | 1826 |
| Eastern Radiologists Inc | 2466355383 | 81 |
| Entity Name | University Of North Carolina At Chapel Hill |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
| Entity Name | East Carolina University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
| Entity Name | Eastern Radiologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215990171 PECOS PAC ID: 2466355383 Enrollment ID: O20040129000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Adam Wallace, MD MPH 101 Manning Dr, Chapel Hill, NC 27514-4220 Ph: (919) 966-7890 | Joshua Adam Wallace, MD MPH 101 Manning Dr, Chapel Hill, NC 27514-4220 Ph: (919) 966-7890 |
Dr. Romuald Ferre, Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Manning Dr, Chapel Hill, NC 27514 Phone: 984-974-1884 | |
Joseph Kt Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Manning Dr, Chapel Hill, NC 27599 Phone: 919-966-4131 | |
Dr. Dorothy Amy Sippo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Manning Dr, Chapel Hill, NC 27514 Phone: 984-974-1884 | |
Dr. Maureen Pearl Kohi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Manning Dr, Chapel Hill, NC 27514 Phone: 984-974-1000 | |
Matthew Mauro, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Manning Dr, Chapel Hill, NC 27599 Phone: 919-966-8596 Fax: 919-843-5515 | |
Dr. Ron Aaron Perets, MD Radiology Medicare: Medicare Enrolled Practice Location: 101 Manning Drive, 4061 Burnett-womack Bldg, Chapel Hill, NC 27514 Phone: 919-966-4653 | |
Kenneth Lury, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Manning Dr, Chapel Hill, NC 27599 Phone: 919-966-8596 Fax: 919-843-5515 |