Dr Ram Mohan R Bongu, MD | |
101 Robeson St, Ste 202, Fayetteville, NC 28301-5520 | |
(910) 609-1630 | |
(910) 609-1636 |
Full Name | Dr Ram Mohan R Bongu |
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Gender | Male |
Speciality | Family Medicine - Geriatric Medicine |
Location | 101 Robeson St, Fayetteville, 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 |
---|---|---|---|
1760485080 | NPI | - | NPPES |
8913352 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 200300007 (North Carolina) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | 200300007 (North Carolina) | Primary |
Entity Name | Cumberland County Hospital System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
Mailing Address | Practice Location Address |
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Dr Ram Mohan R Bongu, MD Po Box 40908, Fayetteville, NC 28309-0908 Ph: (910) 609-6448 | Dr Ram Mohan R Bongu, MD 101 Robeson St, Ste 202, Fayetteville, NC 28301-5520 Ph: (910) 609-1630 |
Ruth Iyun Fagbemi, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7300 S Raeford Rd, Fayetteville, NC 28304 Phone: 910-475-6185 | |
Calbee Deiona Newkirk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0115 | |
Mr. James Arthur Mergy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0115 | |
Dr. Andrew M Freeman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Country Club Dr, Fayetteville, NC 28301 Phone: 910-400-7002 | |
Christopher T Aul, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1219 Walter Reed Rd, Fayetteville, NC 28304 Phone: 910-615-5095 Fax: 910-615-5463 | |
James Scott Lester, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 | |
Connie Brooks-fernandez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-867-7777 Fax: 910-868-7778 |