| Corrine Edick, | |
|
1925 Tradd Ct, Wilmington, NC 28401-6638 | |
| (910) 762-5566 | |
| Not Available |
| Full Name | Corrine Edick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1925 Tradd Ct, Wilmington, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518531730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001011239 (North Carolina) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| J Arthur Dosher Memorial Hospital | Southport, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Goshen Medical Center Incorporated | 3173434479 | 96 |
| Entity Name | Goshen Medical Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962124974 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Corrine Edick, 100 S Boylan Ave, Raleigh, NC 27603-1802 Ph: Not Available | Corrine Edick, 1925 Tradd Ct, Wilmington, NC 28401-6638 Ph: (910) 762-5566 |
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 |