| Virgil E Bean, MD | |
|
2131 S 17th St, Wilmington, NC 28401-7407 | |
| (910) 442-1100 | |
| (910) 442-1199 |
| Full Name | Virgil E Bean |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 2131 S 17th St, Wilmington, 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 |
|---|---|---|---|
| 1144226549 | NPI | - | NPPES |
| 204687F | Other | NC | MEDICARE PTAN |
| 8914076 | Medicaid | NC | |
| P00843363 | Other | NC | MEDICARE RAILROAD |
| 204687H | Other | NC | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 30281 (North Carolina) | Primary |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033412267 PECOS PAC ID: 2961316450 Enrollment ID: O20031118000860 |
| Entity Name | Southeast Anesthesiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
| Mailing Address | Practice Location Address |
|---|---|
| Virgil E Bean, MD Po Box 3686, Wilmington, NC 28406-0686 Ph: (910) 442-1100 | Virgil E Bean, MD 2131 S 17th St, Wilmington, NC 28401-7407 Ph: (910) 442-1100 |
Thomas M Dalton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 | |
Mrs. Chelsea Kaylan Blanchard, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-7000 | |
Barry D Amos, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 | |
Charles L Joachim, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 309 Bridgeton Ct, Wilmington, NC 28411 Phone: 910-681-1262 | |
Dr. Mark Christian Grieb, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 S 17th St, Wilmington, NC 28401 Phone: 910-763-4555 Fax: 910-798-8923 | |
John S Pace, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 |