Ian A Villanueva, MD | |
208 Ashville Ave, Suite 14, Cary, NC 27518-6678 | |
(919) 350-9625 | |
(919) 851-6757 |
Full Name | Ian A Villanueva |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 22 Years |
Location | 208 Ashville Ave, Cary, 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 |
---|---|---|---|
1225256076 | NPI | - | NPPES |
N0057H | Other | SC | MEDICAID |
1225256076 | Medicaid | NC | |
200585090A | Medicaid | KS | |
5907030 | Medicaid | NC | |
N0057H | Medicaid | SC | |
107539 | Other | KS | BLUE CROSS OF KANSAS |
145WE | Other | NC | NCBCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 04-33427 (Kansas) | Secondary |
208600000X | Surgery | 2007-00579 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wakemed, Raleigh Campus | Raleigh, NC | Hospital |
Wakemed, Cary Hospital | Cary, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wakemed Specialists Group Llc | 2466788377 | 701 |
Entity Name | The Mcdowell Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699772657 PECOS PAC ID: 2264343979 Enrollment ID: O20031107000487 |
Entity Name | Wakemed Specialists Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815 |
Mailing Address | Practice Location Address |
---|---|
Ian A Villanueva, MD 2920 Highwoods Blvd, Raleigh, NC 27604-0010 Ph: (877) 498-4490 | Ian A Villanueva, MD 208 Ashville Ave, Suite 14, Cary, NC 27518-6678 Ph: (919) 350-9625 |
Hannah Leigh Goodrum, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 210 Ashville Ave, Cary, NC 27518 Phone: 919-350-9355 Fax: 919-851-6757 | |
Dr. Eric David Duberman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 155 Parkway Office Ct, Cary, NC 27518 Phone: 919-859-4747 Fax: 919-859-4757 | |
Sindi Diko, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 210 Ashville Ave, Cary, NC 27518 Phone: 919-350-7331 Fax: 919-350-9808 | |
David M Pilati, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511 Phone: 919-234-4468 Fax: 919-313-1276 | |
Dr. Kenneth R Hauswald, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1505 Sw Cary Pkwy, Suite 302, Cary, NC 27511 Phone: 919-367-2580 | |
Dr. Brian Stuart Coan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2001 Weston Pkwy, Cary, NC 27513 Phone: 919-484-4484 Fax: 919-484-1414 |