| Kimberly Mccrudden Erickson, MD | |
|
3024 New Bern Ave, Raleigh, NC 27610-1247 | |
| (919) 350-7846 | |
| Not Available |
| Full Name | Kimberly Mccrudden Erickson |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 3024 New Bern Ave, Raleigh, 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 |
|---|---|---|---|
| 1649289679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 2010-01059 (North Carolina) | Secondary |
| 208600000X | Surgery | 2010-01059 (North Carolina) | Primary |
| Entity Name | Wakemed Specialists Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Mccrudden Erickson, MD 2920 Highwoods Blvd, Raleigh, NC 27604-0010 Ph: (877) 498-4490 | Kimberly Mccrudden Erickson, MD 3024 New Bern Ave, Raleigh, NC 27610-1247 Ph: (919) 350-7846 |
Dr. Basil Michael Yurcisin Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607 Phone: 919-784-4200 Fax: 919-784-2708 | |
Dr. Bo Zhang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7331 | |
Dr. Luan Tran, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2245 Gateway Access Pt, Suite 315, Raleigh, NC 27607 Phone: 919-510-8900 Fax: 919-510-8977 | |
Michael Raymond Hall, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300 | |
Dr. James E Fogartie Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7600 | |
Dr. Liliana Nanez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300 Fax: 919-784-2301 | |
Brenna Kate Houlihan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3024 New Bern Ave Ste 102, Raleigh, NC 27610 Phone: 919-350-7331 |