| Linda Augusta Heffernan, MD/PHD | |
|
7560 Carpenter Fire Station Rd Ste 204, Cary, NC 27519-9637 | |
| (919) 439-4206 | |
| (919) 439-9375 |
| Full Name | Linda Augusta Heffernan |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 13 Years |
| Location | 7560 Carpenter Fire Station Rd Ste 204, Cary, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275895666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2016-00343 (North Carolina) | Primary |
| 207N00000X | Dermatology | 0101259854 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forefront Dermatology Sc | 3779471701 | 568 |
| Entity Name | Tidewater Skin Care And Pathology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215269097 PECOS PAC ID: 9335338029 Enrollment ID: O20110111000962 |
| Entity Name | Forefront Dermatology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326532169 PECOS PAC ID: 3779471701 Enrollment ID: O20180821002003 |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Augusta Heffernan, MD/PHD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Linda Augusta Heffernan, MD/PHD 7560 Carpenter Fire Station Rd Ste 204, Cary, NC 27519-9637 Ph: (919) 439-4206 |
Timothy Corcoran Flynn, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 200 Wellesley Trade Ln, Cary, NC 27519 Phone: 919-363-7546 Fax: 919-363-3616 | |
Rebecca Wertman Bialas, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7250 Okelly Chapel Rd Ste 101, Cary, NC 27519 Phone: 919-655-3929 | |
Dr. John Milton Soderberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7560 Carpenter Fire Station Rd Ste 204, Cary, NC 27519 Phone: 919-439-4206 Fax: 919-439-9375 | |
Amy Lenfestey Gagnon, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 Preston Executive Dr Ste 108, Cary, NC 27513 Phone: 919-653-1344 | |
Jacob Subash, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 101 Sw Cary Pkwy Ste 210, Cary, NC 27511 Phone: 919-467-8556 Fax: 919-380-1480 | |
Adam Ingraffea, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Wellesley Trade Ln, Cary, NC 27519 Phone: 919-363-7546 Fax: 919-363-3616 |