Kevin S Scully, MD | |
2716 Ashton Dr, Wilmington, NC 28412-2489 | |
(910) 332-3800 | |
(910) 251-0421 |
Full Name | Kevin S Scully |
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Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 2716 Ashton Dr, Wilmington, 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 |
---|---|---|---|
1114983772 | NPI | - | NPPES |
8975089 | Medicaid | NC | |
P01048395 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 28340 (North Carolina) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 28340 (North Carolina) | Primary |
Entity Name | Emergeortho Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20040109000108 |
Mailing Address | Practice Location Address |
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Kevin S Scully, MD 2716 Ashton Dr, Wilmington, NC 28412-2489 Ph: (910) 332-3800 | Kevin S Scully, MD 2716 Ashton Dr, Wilmington, NC 28412-2489 Ph: (910) 332-3800 |
Albert W Marr, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2716 Ashton Dr, Wilmington, NC 28412 Phone: 910-332-3800 Fax: 910-251-0421 | |
Dr. Christopher Ayodele Jarrett, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8114 Market St, Wilmington, NC 28411 Phone: 910-341-3300 Fax: 910-251-2067 | |
Dr. Neil Ross Macintyre Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3787 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-763-2361 Fax: 910-763-8804 | |
John S O'malley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2716 Ashton Dr, Wilmington, NC 28412 Phone: 910-332-3800 Fax: 910-251-0421 | |
Dr. Daniel Todd Rose, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2716 Ashton Dr, Wilmington, NC 28412 Phone: 910-332-3800 Fax: 910-251-0421 | |
Dr. Michael D Carter, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5220 Oleander Dr, Wilmington, NC 28403 Phone: 910-793-1043 Fax: 910-793-1243 |