Benjamin Gregory Crisp, MD | |
4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685 | |
(919) 784-7874 | |
(919) 784-2708 |
Full Name | Benjamin Gregory Crisp |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 4207 Lake Boone Trl Ste 210, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790216505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 332669 (Louisiana) | Secondary |
208600000X | Surgery | 2023-02063 (North Carolina) | Primary |
Entity Name | Rex Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144248683 PECOS PAC ID: 0840109864 Enrollment ID: O20140613001181 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Gregory Crisp, MD 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685 Ph: (919) 784-7874 | Benjamin Gregory Crisp, MD 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685 Ph: (919) 784-7874 |
Dr. Bo Zhang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7331 | |
Dr. Luan Tran, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2245 Gateway Access Pt, Suite 315, Raleigh, NC 27607 Phone: 919-510-8900 Fax: 919-510-8977 | |
Michael Raymond Hall, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300 | |
Dr. Kimberly Sue Jones, MD Surgery Medicare: Medicare Enrolled Practice Location: 9104 Falls Of Neuse Rd Ste 200, Raleigh, NC 27615 Phone: 919-532-2270 Fax: 919-230-9140 | |
Ms. Michalina Kupsik, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3024 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7251 | |
Dr. James E Fogartie Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7600 | |
Dr. Liliana Nanez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300 Fax: 919-784-2301 |