| Michael E Davis, MD | |
|
137 Medical Lane, Pollocksville, NC 28573 | |
| (252) 633-1010 | |
| (252) 224-3071 |
| Full Name | Michael E Davis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 137 Medical Lane, Pollocksville, 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 |
|---|---|---|---|
| 1356336895 | NPI | - | NPPES |
| 27449 | Other | NC | BLUE CROSS |
| 2208736H | Other | NC | MEDICARE PTAN |
| 8927449 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9500055 (North Carolina) | Primary |
| Entity Name | Carolinaeast Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104066794 PECOS PAC ID: 0143378117 Enrollment ID: O20090430000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael E Davis, MD Po Box 896206, Charlotte, NC 28289-6206 Ph: (252) 633-1010 | Michael E Davis, MD 137 Medical Lane, Pollocksville, NC 28573 Ph: (252) 633-1010 |
Evan Ryan Restelli, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 137 Medical Ln, Pollocksville, NC 28573 Phone: 252-633-1010 Fax: 252-224-3071 | |
Nicholas Farina, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 137 Medical Lane, Pollocksville, NC 28573 Phone: 252-633-1010 Fax: 252-224-3071 | |
Kelsey Jeanine Barr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 137 Medical Ln, Pollocksville, NC 28573 Phone: 252-633-1010 Fax: 252-224-3071 | |
Jonathan Rivera Diaz, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 137 Medical Ln, Pollocksville, NC 28573 Phone: 252-633-1010 Fax: 252-224-3071 | |
Mark B Moeller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 137 Medical Lane, Pollocksville, NC 28573 Phone: 252-633-1010 Fax: 252-224-3071 | |
Dr. Robert Orin Holmes Jr., D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 137 Medical Ln, Pollocksville, NC 28573 Phone: 252-633-1010 Fax: 252-224-3071 | |
Russell Raymond Wilford Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 137 Medical Ln, Pollocksville, NC 28573 Phone: 252-633-1010 Fax: 252-224-3071 |