Mr Carroll Bracey Robertson Iii, MD | |
902b Roanoke Ave, Elizabeth City, NC 27909-5565 | |
(252) 384-0154 | |
(252) 335-2731 |
Full Name | Mr Carroll Bracey Robertson Iii |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 902b Roanoke Ave, Elizabeth City, 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 |
---|---|---|---|
1134154511 | NPI | - | NPPES |
8972152 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9300298 (North Carolina) | Primary |
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 |
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Mr Carroll Bracey Robertson Iii, MD 902b Roanoke Ave, Elizabeth City, NC 27909-5565 Ph: (252) 384-0154 | Mr Carroll Bracey Robertson Iii, MD 902b Roanoke Ave, Elizabeth City, NC 27909-5565 Ph: (252) 384-0154 |
Kimkya Chinwe Asika, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 Medical Dr, Elizabeth City, NC 27909 Phone: 252-335-0503 Fax: 252-335-4015 | |
Jasmin Singh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1507 N Road St Ste 1, Elizabeth City, NC 27909 Phone: 252-338-6167 Fax: 252-334-1755 | |
Dr. Steve Michael Garman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Medical Dr Ste B, Elizabeth City, NC 27909 Phone: 252-562-0611 Fax: 252-562-0720 | |
Albert Joseph Exner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1141 N Road St, Suite G, Elizabeth City, NC 27909 Phone: 252-335-5424 Fax: 252-335-1077 | |
Mr. John Daniel Elliott, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1144 N Road St Ste 200, Elizabeth City, NC 27909 Phone: 252-384-2360 Fax: 252-384-2359 | |
Dr. Joseph Milton Spruill Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 Medical Dr, Elizabeth City, NC 27909 Phone: 252-335-0503 Fax: 252-335-4015 |