| Samuel K St Clair, MD | |
|
4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 | |
| (919) 784-1410 | |
| Not Available |
| Full Name | Samuel K St Clair |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 4207 Lake Boone Trl Ste 220, Raleigh, 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 |
|---|---|---|---|
| 1073588000 | NPI | - | NPPES |
| 56219447701 | Other | NC | TRICARE |
| 8979535 | Medicaid | NC | |
| 97486 | Other | NC | MEDCOST |
| 706943 | Other | NC | CHOICE CARE NETWORK |
| 79535 | Other | NC | BCBS NC |
| 2070150 | Other | NC | FIRST HEALTH |
| 0650385 | Other | NC | UNITED HEALTHCARE |
| 4063806 | Other | NC | AETNA |
| 140006908 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 39097 (North Carolina) | Primary |
| Entity Name | Rex Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144248683 PECOS PAC ID: 0840109864 Enrollment ID: O20140613001181 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel K St Clair, MD 4201 Lake Boone Trl, Ste 202, Raleigh, NC 27607-7512 Ph: (919) 235-0500 | Samuel K St Clair, MD 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 Ph: (919) 784-1410 |
Dr. Sivakumar Jaikumar, MD Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607 Phone: 919-784-1410 | |
Mr. Michael Joe Robinson, ANP-C Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8000 | |
Kimberly Livingston, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 5838 Six Forks Rd Ste 100, Raleigh, NC 27609 Phone: 919-785-3400 Fax: 919-783-7778 | |
Dr. Robert Lacin, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609 Phone: 919-785-3400 Fax: 919-783-7778 | |
Dr. Lars Benjamin Gardner, D.O. Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609 Phone: 919-785-3400 | |
Robert F Dallapiazza, MD Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 5838 Six Forks Rd Ste 100, Raleigh, NC 27609 Phone: 919-785-3400 Fax: 919-783-7778 |