| Ryan Radwin Clark, PA-C | |
|
181 Lake Eden Rd, Black Mountain, NC 28711-8707 | |
| (704) 770-5527 | |
| Not Available |
| Full Name | Ryan Radwin Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 181 Lake Eden Rd, Black Mountain, 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 |
|---|---|---|---|
| 1376283218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Firsthealth Moore Regional Hospital | Pinehurst, NC | Hospital |
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Southeastern Regional Medical Center | Lumberton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Firsthealth Of The Carolinas Inc | 8820909377 | 138 |
| Entity Name | Firsthealth of the Carolinas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548276389 PECOS PAC ID: 8820909377 Enrollment ID: O20031108000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Radwin Clark, PA-C 181 Lake Eden Rd, Black Mountain, NC 28711-8707 Ph: (704) 770-5527 | Ryan Radwin Clark, PA-C 181 Lake Eden Rd, Black Mountain, NC 28711-8707 Ph: (704) 770-5527 |
Cassidy Sean Ford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 15 Jane Jacobs Rd, Black Mountain, NC 28711 Phone: 828-298-0333 |
Jackson Randolph Dobbins, PA/C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3164 Us Highway 70, Black Mountain, NC 28711 Phone: 828-669-4505 Fax: 828-669-5112 |
Saeri Lee Wren, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 Tabernacle Rd, Black Mountain, NC 28711 Phone: 828-257-6200 |
Mr. Robert Stephens, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3164 Us 70 Hwy, Black Mountain, NC 28711 Phone: 828-669-4505 |
Wally Sturgis, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 Tabernacle Rd, Black Mountain, NC 28711 Phone: 828-669-3496 |
Eileen Klein Eudy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 Tabernacle Rd, Black Mountain, NC 28711 Phone: 828-669-3465 |
Ms. Susan Eliza Casar, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 932 Old Us Hwy 70 W, Black Mountain, NC 28711 Phone: 828-669-3170 Fax: 828-669-3229 |