| Kirk Allan Caddell, MD | |
|
3024 New Bern Ave, Raleigh, NC 27610-1247 | |
| (919) 350-2266 | |
| (919) 350-7687 |
| Full Name | Kirk Allan Caddell |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 3024 New Bern Ave, Raleigh, 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 |
|---|---|---|---|
| 1952690224 | NPI | - | NPPES |
| 1952690224 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2022-02505 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wakemed, Raleigh Campus | Raleigh, NC | Hospital |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Mississippi Medical Center, Inc. | 9931010600 | 298 |
| Wakemed Specialists Group Llc | 2466788377 | 774 |
| Entity Name | North Mississippi Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541 |
| Entity Name | Clay County Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578670972 PECOS PAC ID: 4789649609 Enrollment ID: O20041119000718 |
| Entity Name | North Mississippi Gilmore Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225502370 PECOS PAC ID: 2961745195 Enrollment ID: O20190510000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk Allan Caddell, MD Po Box 603949, Charlotte, NC 28260-3949 Ph: (919) 350-2266 | Kirk Allan Caddell, MD 3024 New Bern Ave, Raleigh, NC 27610-1247 Ph: (919) 350-2266 |
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: Accepting Medicare Assignments 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: Medicare Enrolled 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 |