| Nicholas Kallay, MD | |
|
512 Village Rd Ste 101, Shallotte, NC 28470-3409 | |
| (910) 721-4390 | |
| (910) 721-4399 |
| Full Name | Nicholas Kallay |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 30 Years |
| Location | 512 Village Rd Ste 101, Shallotte, 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 |
|---|---|---|---|
| 1043209596 | NPI | - | NPPES |
| 5857091 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 0101231050 (Virginia) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 9700305 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Brunswick Medical Center | Supply, NC | Hospital |
| New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group Coastal Region Llc | 2860809936 | 462 |
| Entity Name | Novant Health Medical Group Coastal Region Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Kallay, MD Po Box 936857, Atlanta, GA 31193-6857 Ph: (910) 721-4390 | Nicholas Kallay, MD 512 Village Rd Ste 101, Shallotte, NC 28470-3409 Ph: (910) 721-4390 |
Carol Ray Young Jr., MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 512 Village Rd Ste 101, Shallotte, NC 28470 Phone: 910-721-4390 Fax: 910-721-4399 | |
Babysarojah Ravindran, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 5145 Sellers Street, Shallotte, NC 28470 Phone: 910-754-4572 Fax: 910-754-4580 | |
Dr. Kevin David Price, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 512 Village Rd Ste 205, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307 | |
Dr. Demetrios Herodotou, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 512 Village Rd Ste 205, Shallotte, NC 28470 Phone: 910-721-4230 Fax: 910-721-4239 | |
Mr. William P Walker Iii, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 712 Village Rd Sw, Suite 206, Shallotte, NC 28470 Phone: 910-755-6232 Fax: 910-755-5984 |