| Melvin Dubose Medlock Jr, MD | |
|
2934 N Elm St Ste E, Lumberton, NC 28358-2987 | |
| (910) 739-0022 | |
| (910) 739-0079 |
| Full Name | Melvin Dubose Medlock Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 40 Years |
| Location | 2934 N Elm St Ste E, Lumberton, 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 |
|---|---|---|---|
| 1467455493 | NPI | - | NPPES |
| NCO905A | Other | NC | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2015-01793 (North Carolina) | Primary |
| 208600000X | Surgery | 058287 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeastern Regional Medical Center | Lumberton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Unc Physicians Network Llc | 5496940546 | 795 |
| Entity Name | Southeastern Regional Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427282045 PECOS PAC ID: 7012058548 Enrollment ID: O20100106000556 |
| Entity Name | Unc Physicians Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Melvin Dubose Medlock Jr, MD 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: () - | Melvin Dubose Medlock Jr, MD 2934 N Elm St Ste E, Lumberton, NC 28358-2987 Ph: (910) 739-0022 |
Dominic L Storto, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2934 N Elm St Ste E, Lumberton, NC 28358 Phone: 919-739-0022 Fax: 910-738-0079 | |
Dr. Jason Evan Davis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2934 N Elm St Ste E, Lumberton, NC 28358 Phone: 910-739-0022 Fax: 910-739-0079 | |
Jayme Emil Mcarthur-herder, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2934 N Elm St Ste E, Lumberton, NC 28358 Phone: 910-739-0022 Fax: 910-738-0079 | |
Dr. Donald D Glower Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 403 W 27th St, Lumberton, NC 28358 Phone: 919-684-8111 | |
Peter L Villani, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3001 North Elm Street, Lumberton, NC 28358 Phone: 910-738-8556 Fax: 910-738-2275 | |
Dr. Ambrose Anthony Puttmann Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 |