Dante Neisone Lewis, MD | |
3940 Arrowhead Blvd Ste 270, Mebane, NC 27302-7637 | |
(919) 563-0202 | |
(919) 563-0242 |
Full Name | Dante Neisone Lewis |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3940 Arrowhead Blvd Ste 270, Mebane, 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 |
---|---|---|---|
1508843442 | NPI | - | NPPES |
30392 | Other | SC | SC MEDICAL LICENSE |
4001444 | Other | SC | CIGNA |
9630227 | Other | SC | AETNA |
20069023 | Other | SC | SELECT HEALTH |
AA23878552 | Other | SC | MEDICARE PTAN |
2019-00846 | Other | NC | NC MEDICAL LICENSE |
303923 | Medicaid | SC | |
18500 | Other | SC | EVOLUTIONS |
5908146 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2019-00846 (North Carolina) | Primary |
Entity Name | Georgetown Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
Entity Name | Waccamaw Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
Entity Name | Eastern Carolina Pediatric Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992749220 PECOS PAC ID: 2163589227 Enrollment ID: O20110909002714 |
Mailing Address | Practice Location Address |
---|---|
Dante Neisone Lewis, MD 530 W Webb Ave, Burlington, NC 27217-3706 Ph: (336) 228-8316 | Dante Neisone Lewis, MD 3940 Arrowhead Blvd Ste 270, Mebane, NC 27302-7637 Ph: (919) 563-0202 |
Diane M Duffy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 943 So Fifth St, Mebane, NC 27302 Phone: 919-563-0202 Fax: 919-563-0242 | |
Karen Jutta Behling, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1352 Mebane Oaks Rd, Mebane, NC 27302 Phone: 919-563-8400 Fax: 919-563-8453 | |
Dr. Eliza Hueda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3940 Arrowhead Blvd, Building A Suite 210, Mebane, NC 27302 Phone: 919-904-4418 |