| Casey Dawn Rucker, PA-C | |
|
1605 Doctors Cir, Wilmington, NC 28401-7405 | |
| (910) 343-8736 | |
| (910) 343-1293 |
| Full Name | Casey Dawn Rucker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1605 Doctors Cir, 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 |
|---|---|---|---|
| 1740878248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-11571 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Brunswick Physician Partners PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457822264 PECOS PAC ID: 2062752470 Enrollment ID: O20190321002645 |
| Entity Name | Cape Fear Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316296635 PECOS PAC ID: 2961847413 Enrollment ID: O20240223003948 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Dawn Rucker, PA-C 1605 Doctors Cir, Wilmington, NC 28401-7405 Ph: (910) 343-8736 | Casey Dawn Rucker, PA-C 1605 Doctors Cir, Wilmington, NC 28401-7405 Ph: (910) 343-8736 |
Robin Elizabeth Jendrazak, OPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2716 Ashton Dr, Wilmington, NC 28412 Phone: 910-332-3800 Fax: 910-332-3833 |
Grace Ellen Russell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 120 Gazebo Ct, Wilmington, NC 28409 Phone: 910-264-9025 |
Crystal Dawn Hill, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2421 Silver Stream Ln, Wilmington, NC 28401 Phone: 910-341-3300 Fax: 910-251-8824 |
Rya Elisabeth Lawrence, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4402 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-791-0075 Fax: 910-791-9674 |
Talia Francesca Marie Mcdonough, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1988 S 16th St, Wilmington, NC 28401 Phone: 910-662-8440 Fax: 910-795-4826 |
Hannah Salefsky, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6727 Parker Farm Dr, Wilmington, NC 28405 Phone: 910-772-0370 Fax: 910-256-5985 |
Mr. Grayson Brent Mayberry, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1415 Physicians Dr, Wilmington, NC 28401 Phone: 910-662-9500 Fax: 910-662-9501 |