| Randy Kimery, PA | |
|
5710 Oleander Dr Ste 201, Wilmington, NC 28403-4722 | |
| (833) 365-7246 | |
| Not Available |
| Full Name | Randy Kimery |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 5710 Oleander Dr Ste 201, Wilmington, 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 |
|---|---|---|---|
| 1902315625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | C06610 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | 0010-10558 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Novant Health Brunswick Medical Center | Supply, NC | Hospital |
| J Arthur Dosher Memorial Hospital | Southport, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Carolina Anesthesia Associates Pllc | 5092720813 | 691 |
| Premier Pain Solutions Pllc | 0749573012 | 11 |
| Entity Name | East Carolina Anesthesia Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
| Entity Name | Premier Pain Solutions PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710336243 PECOS PAC ID: 0749573012 Enrollment ID: O20160725000708 |
| Entity Name | Novant Health New Hanover Regional Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750978839 PECOS PAC ID: 7113330168 Enrollment ID: O20210112000621 |
| Entity Name | Novant Health Medical Group Coastal Region LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Kimery, PA 9 Walden Ridge Dr Ste 10, Asheville, NC 28803-8592 Ph: (833) 365-7246 | Randy Kimery, PA 5710 Oleander Dr Ste 201, Wilmington, NC 28403-4722 Ph: (833) 365-7246 |
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 |