Dr Ricardo De Leon, MD | |
557 Brookdale Dr, Statesville, NC 28677-4107 | |
(704) 873-5661 | |
Not Available |
Full Name | Dr Ricardo De Leon |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 12 Years |
Location | 557 Brookdale Dr, Statesville, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639402795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 099138 (Ohio) | Secondary |
207R00000X | Internal Medicine | 2012-01869 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Watauga Medical Center | Boone, NC | Hospital |
Aspirus Iron River Hospital & Clinics, Inc | Iron river, MI | Hospital |
Aspirus Medford Hospital & Clinics, Inc | Medford, WI | Hospital |
Charles A Cannon Jr Memorial Hospital | Linville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Watauga Medical Center Inc | 2668377474 | 69 |
Aspirus Medford Hospital And Clinics Inc | 5799688602 | 66 |
Aspirus Iron River Hospital And Clinics Inc | 5294648929 | 31 |
Entity Name | Watauga Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528134194 PECOS PAC ID: 2668377474 Enrollment ID: O20040210000805 |
Entity Name | Optimed Hospitalists, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235449125 PECOS PAC ID: 8022204171 Enrollment ID: O20101201000378 |
Entity Name | Telehealth Solution Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790221299 PECOS PAC ID: 4284902552 Enrollment ID: O20170612000471 |
Entity Name | Hospitalist Solution Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457853079 PECOS PAC ID: 1759630510 Enrollment ID: O20180828001317 |
Mailing Address | Practice Location Address |
---|---|
Dr Ricardo De Leon, MD 108 S Main St, Davidson, NC 28036-8096 Ph: (704) 997-5525 | Dr Ricardo De Leon, MD 557 Brookdale Dr, Statesville, NC 28677-4107 Ph: (704) 873-5661 |
Ms. Virginia Fredericka Wright, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1022 Shelton Ave, Statesville, NC 28677 Phone: 704-838-1234 Fax: 704-768-2081 | |
Jose Eduardo Perez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-8240 Fax: 704-384-5360 | |
Dr. Nasib Ayoubi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 770 Hartness Rd, Statesville, NC 28677 Phone: 704-872-6810 | |
Kevin Michael Lamm, Internal Medicine Medicare: Medicare Enrolled Practice Location: 208 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-878-2021 Fax: 704-878-2022 | |
Elias David Ruiz Valdez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5661 | |
Neil M Kassman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 208 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-8215 | |
Dr. Robert Adjamah Aryeetey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 276 Old Mocksville Road, Suite 1100, Statesville, NC 28625 Phone: 704-878-2523 Fax: 704-878-6417 |