Dr Jennifer Marie Defazio, MD | |
517 Moye Blvd, Greenville, NC 27834-2849 | |
(252) 744-3109 | |
(252) 744-2096 |
Full Name | Dr Jennifer Marie Defazio |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 21 Years |
Location | 517 Moye Blvd, Greenville, 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 |
---|---|---|---|
1508988742 | NPI | - | NPPES |
153RU | Other | NC | BCBSNC |
5912475 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NS0135X | Dermatology - Procedural Dermatology | 2009-01325 (North Carolina) | Primary |
207NS0135X | Dermatology - Procedural Dermatology | 22380 (West Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Vidant Medical Center | Greenville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Carolina University | 0244143246 | 383 |
Entity Name | East Carolina University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Marie Defazio, MD Po Box 751069, Charlotte, NC 28275-1069 Ph: () - | Dr Jennifer Marie Defazio, MD 517 Moye Blvd, Greenville, NC 27834-2849 Ph: (252) 744-3109 |
Dr. Mary Helen Allen Hutchinson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 420 Spring Forest Rd, Greenville, NC 27834 Phone: 252-752-4124 Fax: 252-758-8954 | |
Dr. Drury L Armistead, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1850 W Arlington Blvd, Greenville, NC 27834 Phone: 252-413-6740 Fax: 252-752-6600 | |
Dr. Eric Richard Howell, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 420 Spring Forest Rd, Greenville, NC 27834 Phone: 252-752-4124 Fax: 252-758-8954 | |
Dr. Russell James Kilpatrick, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1850 W Arlington Blvd, Greenville, NC 27834 Phone: 252-413-6740 | |
Dr. William A Burke, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 817 Moye Blvd Fl. 3, Ecu Physicians Dermetology Moye Medical Center #2, Greenville, NC 27834 Phone: 252-744-3109 Fax: 252-744-2096 | |
Dr. Austin Jeannine Newsome, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 420 Spring Forest Rd, Greenville, NC 27834 Phone: 252-752-4124 Fax: 252-752-6146 |