| Daniel M Ricci M.d. P.a. | |
|
207 E Murphy St Wallace NC 28466-1946 | |
| (910) 285-4100 | |
| (910) 285-4766 |
| Full Name | Daniel M Ricci M.d. P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 207 E Murphy St, Wallace, North Carolina |
| Authorized Official Name and Position | Daniel Michael Ricci (PRESIDENT) |
| Authorized Official Contact | 9102854100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel M Ricci M.d. P.a. Po Box 968 Wallace NC 28466-0968 Ph: (910) 285-4100 | Daniel M Ricci M.d. P.a. 207 E Murphy St Wallace NC 28466-1946 Ph: (910) 285-4100 |
| NPI Number | 1689673618 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8729990361 |
|---|---|
| Medicare Enrollment ID | O20031103000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689673618 | NPI | - | NPPES |
| 017CT | Other | NC | BCBS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (North Carolina) | Primary |
| Provider Name | Daniel M Ricci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528067519 PECOS PAC ID: 3971415415 Enrollment ID: I20050714000968 |
| Provider Name | Maryanna Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720541220 PECOS PAC ID: 5395078869 Enrollment ID: I20190615000203 |
Wallace Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr, Ste G, Wallace, NC 28466 Phone: 910-285-0333 | |
House Of Raeford Health & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr Ste F, Wallace, NC 28466 Phone: 910-285-0940 Fax: 910-285-1825 | |
Goshen Medical Center - Wallace Elementary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4266 S Nc Highway 11, Wallace, NC 28466 Phone: 910-267-1942 | |
Blair Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 E Main St, Wallace, NC 28466 Phone: 910-285-3380 | |
Po Powell Management Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr Ste F, Wallace, NC 28466 Phone: 910-665-1780 Fax: 910-665-1780 | |
Wallace Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr, Unit F, Wallace, NC 28466 Phone: 910-285-0333 Fax: 910-285-0336 |