Michael J Azrak, MD | |
4420 Lake Boone Trl, Raleigh, NC 27607-7505 | |
(919) 784-3100 | |
Not Available |
Full Name | Michael J Azrak |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4420 Lake Boone Trl, Raleigh, 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 |
---|---|---|---|
1992804231 | NPI | - | NPPES |
P00060171 | Other | NC | RR MEDICARE |
12971 | Other | NC | BLUE SHIELD |
9901502 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 9901502 (North Carolina) | Primary |
Entity Name | Raleigh Emergency Medicine Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790736973 PECOS PAC ID: 9537067343 Enrollment ID: O20031230000486 |
Mailing Address | Practice Location Address |
---|---|
Michael J Azrak, MD 2501 Blue Ridge Rd Ste 250, Raleigh, NC 27607-6346 Ph: (919) 863-4128 | Michael J Azrak, MD 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3100 |
Hershell Cassell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-620-4467 | |
Christopher Occhino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4513 Pitt St, Raleigh, NC 27609 Phone: 716-725-9852 Fax: 716-204-4501 | |
Tina M Tamaddon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 | |
Rodney L Mccaskill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 | |
Colleen C Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Damian Francis Mchugh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
James M Merritt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073 |