| Joan Sebastian Bolanos Lopez, PA-C | |
|
5160 Ocean Hwy W, Shallotte, NC 28470-4012 | |
| (910) 617-8325 | |
| Not Available |
| Full Name | Joan Sebastian Bolanos Lopez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 5160 Ocean Hwy W, Shallotte, 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 |
|---|---|---|---|
| 1396532511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-15626 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| J Arthur Dosher Memorial Hospital | Southport, NC | Hospital |
| Novant Health Brunswick Medical Center | Supply, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergeortho Pa | 0749188894 | 726 |
| Entity Name | Emergeortho PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20040109000108 |
| Entity Name | J. Arthur Dosher Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538260229 PECOS PAC ID: 8921910324 Enrollment ID: O20091014000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Joan Sebastian Bolanos Lopez, PA-C Po Box 5105, Belfast, ME 04915-5100 Ph: (919) 220-5255 | Joan Sebastian Bolanos Lopez, PA-C 5160 Ocean Hwy W, Shallotte, NC 28470-4012 Ph: (910) 617-8325 |
Katy Flinn Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307 |
Jacob Elias, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3650 Express Dr, Shallotte, NC 28470 Phone: 910-754-2229 |
Kaitlyn Ann Madden, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5160 Ocean Hwy W, Shallotte, NC 28470 Phone: 910-332-3800 |
Faith Farris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5272 Ocean Hwy W, Shallotte, NC 28470 Phone: 910-251-9944 Fax: 910-763-4666 |
Scott Christopher Ganucheau, MSPAS, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307 |
Ms. Dorothy Truax, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 512 Village Rd Ste 101, Shallotte, NC 28470 Phone: 910-721-4390 Fax: 910-721-4399 |
Taylor Blair Currall, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 204 Smith Ave, Shallotte, NC 28470 Phone: 910-721-4230 Fax: 910-721-4239 |