Dr Christopher Michael Derienzo, MD, MPP | |
3024 New Bern Ave, Raleigh, NC 27610-1247 | |
(919) 350-7846 | |
Not Available |
Full Name | Dr Christopher Michael Derienzo |
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Gender | Male |
Speciality | Pediatrics |
Location | 3024 New Bern Ave, 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 |
---|---|---|---|
1215104864 | NPI | - | NPPES |
1215104 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 2011-00473 (North Carolina) | Secondary |
208000000X | Pediatrics | 2011-00473 (North Carolina) | Primary |
Entity Name | Mission Hospitals Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962452482 PECOS PAC ID: 0648189969 Enrollment ID: O20040309000878 |
Entity Name | Mission Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114150190 PECOS PAC ID: 0749326106 Enrollment ID: O20100313000054 |
Mailing Address | Practice Location Address |
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Dr Christopher Michael Derienzo, MD, MPP 2920 Highwoods Blvd, Raleigh, NC 27604-0010 Ph: (877) 498-4490 | Dr Christopher Michael Derienzo, MD, MPP 3024 New Bern Ave, Raleigh, NC 27610-1247 Ph: (919) 350-7846 |
Sarah Owrey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Blue Ridge Rd, Suite 401, Raleigh, NC 27607 Phone: 919-781-7490 | |
Robert C Helms, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Falls Valley Drive, Raleigh, NC 27615 Phone: 919-872-0250 Fax: 919-848-3137 | |
Dr. Christina Marie Flannelly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8300 Health Park Ste 213, Raleigh, NC 27615 Phone: 919-896-7066 Fax: 919-896-7067 | |
Jeff Lawrence Kantor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Sunnybrook Rd, Raleigh, NC 27610 Phone: 919-235-6435 | |
Dr. Delouis Terlonge Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3801 Computer Dr, Suite 200, Raleigh, NC 27609 Phone: 919-782-5273 Fax: 919-232-5551 | |
Larissa M. Saldana, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4551 New Bern Ave, Suite 160, Raleigh, NC 27610 Phone: 919-861-7793 Fax: 919-488-1458 | |
Dr. Bridget Mcnamara Degele, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607 Phone: 919-786-5001 Fax: 919-786-5051 |