| William L Rucker, MD | |
|
130 Glendale Dr W, Wilson, NC 27893-2770 | |
| (252) 399-7557 | |
| (252) 399-1324 |
| Full Name | William L Rucker |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 45 Years |
| Location | 130 Glendale Dr W, Wilson, 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 |
|---|---|---|---|
| 1326034513 | NPI | - | NPPES |
| 8973822 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 26867 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Medical Center | Greenville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 847 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Mailing Address | Practice Location Address |
|---|---|
| William L Rucker, MD 4433 Norris Store Rd, Ayden, NC 28513-8725 Ph: (252) 746-3884 | William L Rucker, MD 130 Glendale Dr W, Wilson, NC 27893-2770 Ph: (252) 399-7557 |
George Coupland Isaacs, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 Glendale Dr W, Wilson, NC 27893 Phone: 252-399-7557 Fax: 252-399-1324 | |
Deborah Daetwyler Boyd, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 130 Glendale Dr W, Wilson, NC 27893 Phone: 252-399-7557 Fax: 252-399-1324 | |
Emil J Cekada, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 Glendale Dr W, Wilson, NC 27893 Phone: 252-399-7557 Fax: 252-399-1324 |