Dr John Jasper Wilkins Iii, MD | |
800 Jefferson St, Suite 116, Whiteville, NC 28472-3710 | |
(910) 642-2642 | |
Not Available |
Full Name | Dr John Jasper Wilkins Iii |
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Gender | Male |
Speciality | Pediatrics |
Location | 800 Jefferson St, Whiteville, 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 |
---|---|---|---|
1013111590 | NPI | - | NPPES |
5915599 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2010-01069 (North Carolina) | Primary |
Entity Name | Pines Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942277819 PECOS PAC ID: 0749275113 Enrollment ID: O20040823001052 |
Mailing Address | Practice Location Address |
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Dr John Jasper Wilkins Iii, MD 800 Jefferson St, Suite 116, Whiteville, NC 28472-3710 Ph: (910) 642-2642 | Dr John Jasper Wilkins Iii, MD 800 Jefferson St, Suite 116, Whiteville, NC 28472-3710 Ph: (910) 642-2642 |
Marc Yandle, Pediatrics Medicare: Medicare Enrolled Practice Location: 619-36 Jefferson Street, Whiteville, NC 28472 Phone: 910-640-4064 | |
Dr. Charita Yiangopoullou Csiky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 612 Jefferson St, Suite 28, Whiteville, NC 28472 Phone: 910-640-4064 Fax: 910-640-4063 | |
Dr. Richard M Waldman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 823 Jefferson St, Whiteville, NC 28472 Phone: 910-642-6121 Fax: 910-642-8457 | |
Ruth Elizabeth Letizia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 36 Mcneill Plz, Whiteville, NC 28472 Phone: 910-640-4064 | |
Dr. Kaylan Elizabeth Edwards, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 36 Mcneill Plz, Whiteville, NC 28472 Phone: 910-640-4064 | |
Lauren Rust, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 36 Mcneill Plz, Whiteville, NC 28472 Phone: 910-640-4064 |