Dr Mary Jo Mcdonell, MD | |
812 W Haggard Ave, Elon, NC 27244-9134 | |
(336) 449-4030 | |
(336) 449-5315 |
Full Name | Dr Mary Jo Mcdonell |
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Gender | Female |
Speciality | Pediatrics |
Location | 812 W Haggard Ave, Elon, 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 |
---|---|---|---|
1821095118 | NPI | - | NPPES |
1167817 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 178523 (New York) | Secondary |
208000000X | Pediatrics | 2016-00089 (North Carolina) | Primary |
Entity Name | Jacksonville Children's And Multispecialty Clinic, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164519070 PECOS PAC ID: 6709968811 Enrollment ID: O20080129000277 |
Entity Name | Amm Healthcare Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528639689 PECOS PAC ID: 6002212370 Enrollment ID: O20210913000433 |
Mailing Address | Practice Location Address |
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Dr Mary Jo Mcdonell, MD Po Box 986513, Dept 200, Boston, MA 02298-6513 Ph: (910) 219-8310 | Dr Mary Jo Mcdonell, MD 812 W Haggard Ave, Elon, NC 27244-9134 Ph: (336) 449-4030 |
Adriana Cline, Pediatrics Medicare: Medicare Enrolled Practice Location: 908 South Williamson Avenue, Elon, NC 27244 Phone: 919-966-4468 | |
Dr. Marcia Liliana Moran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 908 South Williamson Avenue, Elon, NC 27244 Phone: 336-538-2416 Fax: 336-584-6811 | |
Rita M Phiri- Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 908 S Williamson Ave, Elon, NC 27244 Phone: 336-538-2416 | |
Dr. Jasna S. Nogo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 908 S Williamson Ave, Elon, NC 27244 Phone: 336-538-1234 Fax: 336-584-6811 | |
Dr. Joseph R. Pringle Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 908 S Williamson Ave, Elon, NC 27244 Phone: 336-538-1234 Fax: 336-538-2390 | |
Suzanne Elizabeth Dvergsten, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 908 South Williamson Avenue, Elon, NC 27244 Phone: 336-538-2516 Fax: 336-584-6811 | |
Dalia Atef Khalifa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 908 South Williamson Avenue, Elon, NC 27244 Phone: 336-538-2416 Fax: 336-584-6811 |