| Shaun C Hines, DO | |
|
1315 Avon St, Fayetteville, NC 28304-4423 | |
| (910) 433-9004 | |
| Not Available |
| Full Name | Shaun C Hines |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 1315 Avon St, Fayetteville, 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 |
|---|---|---|
| Well Care Home Health | Wilmington, NC | Home health agency |
| Community Home Care & Hospice | Fayetteville, NC | Hospice |
| Cape Fear Valley-bladen County Hospital | Elizabethtown, NC | Hospital |
| Southeastern Regional Medical Center | Lumberton, NC | Hospital |
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bladen Healthcare Llc | 6800967969 | 40 |
| Cumberland County Hospital System Inc | 1850204041 | 605 |
| Cape Fear Valley Health Medical Group Llc | 0648707109 | 291 |
| 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 1315 Avon St, Fayetteville, NC 28304-4423 Ph: (910) 433-9004 |
Ruth Iyun Fagbemi, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7300 S Raeford Rd, Fayetteville, NC 28304 Phone: 910-475-6185 | |
Calbee Deiona Newkirk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0115 | |
Dr. Phoebe Marie Cruz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 | |
Mr. James Arthur Mergy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0115 | |
Dr. Andrew M Freeman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Country Club Dr, Fayetteville, NC 28301 Phone: 910-400-7002 | |
Christopher T Aul, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1219 Walter Reed Rd, Fayetteville, NC 28304 Phone: 910-615-5095 Fax: 910-615-5463 | |
James Scott Lester, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 |