Mr Kenny Charles Nall, MD | |
628 E 12th St, Washington, NC 27889-3409 | |
(252) 974-9361 | |
(252) 974-9115 |
Full Name | Mr Kenny Charles Nall |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 39 Years |
Location | 628 E 12th St, Washington, 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 |
---|---|---|---|
1710961727 | NPI | - | NPPES |
1253W | Other | NC | BCBS |
891253W | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 9901269 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vidant Medical Center | Greenville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vidant Medical Group Llc | 0345343893 | 850 |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Entity Name | Outer Banks Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
Mailing Address | Practice Location Address |
---|---|
Mr Kenny Charles Nall, MD 628 E 12th St, Washington, NC 27889-3409 Ph: (252) 974-9361 | Mr Kenny Charles Nall, MD 628 E 12th St, Washington, NC 27889-3409 Ph: (252) 974-9361 |
Dr. John J. Inzerillo, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1209 Brown St, Washington, NC 27889 Phone: 252-975-4308 Fax: 252-946-1540 | |
Randal White, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-948-4990 Fax: 252-948-4993 | |
Imran Syed, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4100 | |
Richard M Young, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1380 Cowell Farm Rd, Washington, NC 27889 Phone: 252-946-2101 Fax: 252-946-9896 | |
Deepti Ananthula, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1380 Cowell Farm Rd, Washington, NC 27889 Phone: 215-361-4854 | |
Melissa Anne Beretich, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 628 E 12th St, Attn James Manning, Washington, NC 27889 Phone: 252-946-0900 | |
Tara M Knott, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1380 Cowell Farm Road, Washington, NC 27889 Phone: 252-946-2101 Fax: 252-946-9896 |