Dr Lynne Susan Wirth, MD | |
204 Medspring Dr, Clayton, NC 27520-9293 | |
(919) 235-6505 | |
Not Available |
Full Name | Dr Lynne Susan Wirth |
---|---|
Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 204 Medspring Dr, Clayton, 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 |
---|---|---|---|
1376512616 | NPI | - | NPPES |
88599 | Other | NC | BLUE CROSS BLUE SHIELD |
7873164 | Other | NC | AETNA |
8988599 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 33770 (North Carolina) | Primary |
Entity Name | Wake Specialty Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942440375 PECOS PAC ID: 7416006085 Enrollment ID: O20090601000520 |
Mailing Address | Practice Location Address |
---|---|
Dr Lynne Susan Wirth, MD 2920 Highwoods Blvd, Raleigh, NC 27604-0010 Ph: (877) 498-4490 | Dr Lynne Susan Wirth, MD 204 Medspring Dr, Clayton, NC 27520-9293 Ph: (919) 235-6505 |
Kevin Francis Mcenaney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Gateway Dr, Clayton, NC 27520 Phone: 919-585-9001 Fax: 919-488-1719 | |
Dr. Ihab Abdel-aziz Abdel-khalek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11708 Hwy 70 West, Clayton, NC 27520 Phone: 919-550-2770 Fax: 919-553-7926 | |
Alyssa Ann Jenkins Schuett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 104 Medspring Dr Ste 100, Clayton, NC 27520 Phone: 919-359-3500 Fax: 919-359-3501 | |
Matthew Munschauer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 Medspring Dr, Clayton, NC 27520 Phone: 414-266-6800 | |
Kristin Kushwaha, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 104 Medspring Dr Ste 100, Clayton, NC 27520 Phone: 919-359-3500 Fax: 919-359-3501 | |
Jessica Christine Kuhn Owens, NP Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Gateway Dr, Clayton, NC 27520 Phone: 919-585-9001 | |
Dr. Laura Beth Mann Dosier, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 104 Medspring Dr, Clayton, NC 27520 Phone: 919-235-6535 |