| Newport Dermatology Pllc | |
|
285 Howard Blvd Newport NC 28570-7927 | |
| (252) 223-3405 | |
| (252) 223-4216 |
| Full Name | Newport Dermatology Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 285 Howard Blvd, Newport, North Carolina |
| Authorized Official Name and Position | Maurice Dana (SOLE MEMBER) |
| Authorized Official Contact | 2522234054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Dermatology Pllc Po Box 1689 Newport NC 28570-1689 Ph: (252) 223-4054 | Newport Dermatology Pllc 285 Howard Blvd Newport NC 28570-7927 Ph: (252) 223-3405 |
| NPI Number | 1093063216 |
|---|---|
| Provider Enumeration Date | 08/20/2012 |
| Last Update Date | 10/30/2013 |
| Medicare PECOS PAC ID | 2264670645 |
|---|---|
| Medicare Enrollment ID | O20130523000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093063216 | NPI | - | NPPES |
| 8926870 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 30120 (North Carolina) | Primary |
| Provider Name | Maurice F Dana |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437294584 PECOS PAC ID: 2769456805 Enrollment ID: I20040824000600 |
Newport Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 Howard Blvd, Newport, NC 28570 Phone: 252-223-5054 Fax: 252-223-4038 | |
Open Water Medical, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Howard Blvd, Newport, NC 28570 Phone: 252-728-5737 Fax: 252-728-5739 | |
Safe Harbour Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Chatham St, Newport, NC 28570 Phone: 252-223-5872 Fax: 252-223-3274 |