Dr Ellen D Dillavou, MD | |
3000 New Bern Ave, Raleigh, NC 27610-1231 | |
(919) 350-8000 | |
Not Available |
Full Name | Dr Ellen D Dillavou |
---|---|
Gender | Female |
Speciality | Vascular Surgery |
Experience | 28 Years |
Location | 3000 New Bern Ave, Raleigh, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932172442 | NPI | - | NPPES |
100966194 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MD066225L (Pennsylvania) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 2015-01778 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wakemed, Raleigh Campus | Raleigh, NC | Hospital |
Wakemed, Cary Hospital | Cary, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wakemed Specialists Group Llc | 2466788377 | 701 |
Entity Name | Wakemed Specialists Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815 |
Mailing Address | Practice Location Address |
---|---|
Dr Ellen D Dillavou, MD Po Box 63362, Charlotte, NC 28263-3362 Ph: (800) 782-6945 | Dr Ellen D Dillavou, MD 3000 New Bern Ave, Raleigh, NC 27610-1231 Ph: (919) 350-8000 |
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 |