Dr Kyne Martin Wang, MD | |
4022 Freedom Lake Dr, Durham, NC 27704 | |
(919) 477-2202 | |
(919) 471-2270 |
Full Name | Dr Kyne Martin Wang |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4022 Freedom Lake Dr, Durham, 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 |
---|---|---|---|
1962468660 | NPI | - | NPPES |
2242290 | Other | AETNA | |
273703 | Other | MAMSI ALLIANCE | |
1216U | Other | NC | BCBS STATE FEDERAL NC HEA |
1255307 | Other | UNITED HEALTHCARE | |
891216U | Medicaid | NC | |
88979 | Other | MEDCOST | |
8912160 | Other | CAROLINA ACCESS NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 9901075 (North Carolina) | Primary |
Entity Name | Private Diagnostic Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Entity Name | Duke Health Integrated Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyne Martin Wang, MD 4022 Freedom Lake Dr, Durham, NC 27704 Ph: (919) 477-2202 | Dr Kyne Martin Wang, MD 4022 Freedom Lake Dr, Durham, NC 27704 Ph: (919) 477-2202 |
Candice Marlow Ray, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111 | |
Vinod Prasad, Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 | |
Michelle Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Duke University Medical Ctr, Durham, NC 27710 Phone: 919-620-4467 | |
Dr. Vijaya Kumar Konda Reddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
May Kuo Slowik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 | |
Dwight Dudley Koeberl, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 | |
Ira Cheifetz, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 |