| Dr Jennifer Mcdonald Willard, MD | |
|
1030 Siena Drive, Raleigh, NC 27587-2781 | |
| (919) 235-6511 | |
| (919) 341-3578 |
| Full Name | Dr Jennifer Mcdonald Willard |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1030 Siena Drive, 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 |
|---|---|---|---|
| 1750352423 | NPI | - | NPPES |
| 891197N | Medicaid | NC | |
| 1750352423 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 9701657 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 9701657 (North Carolina) | Primary |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Wellstar Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Mcdonald Willard, MD Po Box 602195, Charlotte, NC 28260-2195 Ph: (919) 350-0351 | Dr Jennifer Mcdonald Willard, MD 1030 Siena Drive, Raleigh, NC 27587-2781 Ph: (919) 235-6511 |
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 |