Nicholas Jordan Reaves, MD | |
100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | |
(908) 448-7842 | |
Not Available |
Full Name | Nicholas Jordan Reaves |
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Gender | Male |
Speciality | Anesthesiology |
Location | 100 Brewster Blvd, Camp Lejeune, 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 |
---|---|---|---|
1225579014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2021-03054 (North Carolina) | Secondary |
207L00000X | Anesthesiology | 0101265140 (Virginia) | Primary |
Entity Name | Southeast Anesthesiology Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
Entity Name | Sarmc Anesthesia Specialist Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295194397 PECOS PAC ID: 5294032413 Enrollment ID: O20160401000764 |
Mailing Address | Practice Location Address |
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Nicholas Jordan Reaves, MD 202 Peggys Trce, Sneads Ferry, NC 28460-6875 Ph: (908) 448-7842 | Nicholas Jordan Reaves, MD 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (908) 448-7842 |
Jason Fleenor, Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Robert Brett Goy, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Manuel A. Colon-dejesus, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4300 | |
Andrew Clifford Graf, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4719 | |
Dr. Carlos Hermes Casamalhuapa, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Dr. Michael Andrew Lee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4786 |