| Justin Daniel Faulkner, MD | |
| 2739 Iron Gate Dr, Wilmington, NC 28412-3731 | |
| (910) 763-7363 | |
| (910) 251-8296 | 
| Full Name | Justin Daniel Faulkner | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 2739 Iron Gate Dr, Wilmington, 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 | 
|---|---|---|---|
| 1043715030 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 2024-00111 (North Carolina) | Primary | 
| Entity Name | Saint Lukes Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Justin Daniel Faulkner, MD 2739 Iron Gate Dr, Wilmington, NC 28412-3731 Ph: (910) 763-7363 | Justin Daniel Faulkner, MD 2739 Iron Gate Dr, Wilmington, NC 28412-3731 Ph: (910) 763-7363 | 
| Dr. Gregory Gerard Bebb, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2739 Iron Gate Dr, Wilmington, NC 28412 Phone: 910-763-7363 Fax: 910-251-8296 | |
| Dr. Tor Martin Ljung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6752 Parker Farm Dr # 200, Wilmington, NC 28405 Phone: 910-341-3300 Fax: 910-341-3321 | |
| Matthew Glenn Hager, MD Surgery Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-343-7000 | |
| Dr. F Alan Hubbard, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1202 Medical Center Dr, Wilmington, NC 28401 Phone: 910-763-6289 Fax: 910-251-1420 | |
| Dr. Cyrus A Kotwall, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-343-0161 Fax: 910-772-9452 | |
| Emily Fontenot Marcinkowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2739 Iron Gate Dr, Wilmington, NC 28412 Phone: 910-763-7363 Fax: 910-251-8296 |