| Shaun C Hines, DO | |
|
1106 W Seaboard St, Bladenboro, NC 28320-6985 | |
| (910) 863-3138 | |
| (910) 863-3597 |
| Full Name | Shaun C Hines |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 1106 W Seaboard St, Bladenboro, 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 |
|---|---|---|---|
| 1619358710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2018-00531 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 0116028181 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Fear Valley-bladen County Hospital | Elizabethtown, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland County Hospital System Inc | 1850204041 | 532 |
| Bladen Healthcare Llc | 6800967969 | 34 |
| Entity Name | Cumberland County Hospital System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Entity Name | County Of Bladen Office Of Auditor |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1083779797 PECOS PAC ID: 9830002120 Enrollment ID: O20040413000299 |
| Entity Name | Bladen Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558537282 PECOS PAC ID: 6800967969 Enrollment ID: O20080617000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaun C Hines, DO Po Box 40908, Fayetteville, NC 28309-0908 Ph: (910) 615-6949 | Shaun C Hines, DO 1106 W Seaboard St, Bladenboro, NC 28320-6985 Ph: (910) 863-3138 |
Pearline Barbara Grant, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 106 4th Street, Bladenboro, NC 28320 Phone: 910-863-3138 Fax: 910-863-3597 |