Jan Howe Wong, MD | |
600 Moye Blvd, Ecu Physicians At Leo W. Jenkins Cancer Services, Greenville, NC 27834-4300 | |
(252) 744-1888 | |
(252) 744-7005 |
Full Name | Jan Howe Wong |
---|---|
Gender | Male |
Speciality | Surgery - Surgical Oncology |
Location | 600 Moye Blvd, Greenville, 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 |
---|---|---|---|
1538265236 | NPI | - | NPPES |
00533401 | Medicaid | HI | |
5915789 | Medicaid | NC | |
1590C | Other | NC | BCBSNC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | 2010-01582 (North Carolina) | Primary |
Entity Name | East Carolina University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
---|---|
Jan Howe Wong, MD P.o. Box 751069, Ecu Physicains, Charlotte, NC 28275-1069 Ph: () - | Jan Howe Wong, MD 600 Moye Blvd, Ecu Physicians At Leo W. Jenkins Cancer Services, Greenville, NC 27834-4300 Ph: (252) 744-1888 |
Dr. Michael W.a. Chu, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC 27834 Phone: 252-744-4822 Fax: 252-744-9004 | |
Dr. Yifan Guo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 517 Moye Blvd, Ecu Physicians Plastic Surgery, Greenville, NC 27834 Phone: 252-744-5291 Fax: 252-744-5778 | |
Shannon Wright Longshore, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2832 Fax: 252-744-3457 | |
Dr. Frances Chinenye Okolo, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2832 Fax: 252-744-3457 | |
Timothy W Mcguire, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 W Arlington Blvd, Greenville, NC 27834 Phone: 252-413-6735 Fax: 252-752-2019 | |
David Anthony Rodeberg, MD Surgery Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2832 Fax: 252-744-3457 | |
Dr. Simon C Moten, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Life Science Building-cardiothoracic Outpatient Clin., Greenville, NC 27834 Phone: 252-744-4822 Fax: 252-744-5192 |