Dr Ada M Conway, MD | |
403 Fairview St, Clinton, NC 28328-2399 | |
(910) 592-6011 | |
(910) 590-0816 |
Full Name | Dr Ada M Conway |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 403 Fairview St, Clinton, 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 |
---|---|---|---|
1598700692 | NPI | - | NPPES |
5483676 | Other | NC | AETNA |
00365518 | Medicaid | NC | |
182933 | Other | NC | MEDCOST |
140RH | Other | NC | NC BLUE CROSS BLUE SHIELD |
1944154 | Other | NC | UNITED HEALTHCARE |
9104294 | Other | NC | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2005-01080 (North Carolina) | Primary |
Entity Name | Private Diagnostic Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Entity Name | Duke Health Integrated Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
Mailing Address | Practice Location Address |
---|---|
Dr Ada M Conway, MD 1604 Timberlake Dr, Clinton, NC 28328-8227 Ph: (910) 385-7551 | Dr Ada M Conway, MD 403 Fairview St, Clinton, NC 28328-2399 Ph: (910) 592-6011 |
Shane Megan Sundlie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0819 | |
Dr. Rufus M. Herring Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-590-0605 Fax: 910-592-0811 | |
Teague Lon Horton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811 | |
Subodh Pal, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-590-8729 Fax: 910-590-2321 | |
Mary Katrina Snyder Gaylord, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-952-0819 | |
Dr. William C. Carr, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 |