Charles Lee Ewell Jr, MD | |
615 Shipyard Blvd, Wilmington, NC 28412-6431 | |
(910) 343-0145 | |
(910) 341-5779 |
Full Name | Charles Lee Ewell Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 615 Shipyard Blvd, Wilmington, 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 |
---|---|---|---|
1710938535 | NPI | - | NPPES |
89136AP | Medicaid | NC | |
136AP | Other | NC | BCBS |
P000950685 | Other | NC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RA0401X | Internal Medicine - Addiction Medicine | 30982 (North Carolina) | Secondary |
207L00000X | Anesthesiology | 30982 (North Carolina) | Primary |
Entity Name | Coastal Horizons Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922022607 PECOS PAC ID: 9739267964 Enrollment ID: O20080429000046 |
Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209 |
Mailing Address | Practice Location Address |
---|---|
Charles Lee Ewell Jr, MD 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 | Charles Lee Ewell Jr, MD 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 |
Thomas M Dalton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 | |
Mrs. Chelsea Kaylan Blanchard, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-7000 | |
Barry D Amos, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 | |
Charles L Joachim, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 309 Bridgeton Ct, Wilmington, NC 28411 Phone: 910-681-1262 | |
Virgil E Bean, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 | |
Dr. Mark Christian Grieb, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 S 17th St, Wilmington, NC 28401 Phone: 910-763-4555 Fax: 910-798-8923 | |
John S Pace, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 |