Randal White, MD | |
628 E 12th St, Washington, NC 27889-3409 | |
(252) 948-4990 | |
(252) 948-4993 |
Full Name | Randal White |
---|---|
Gender | Male |
Speciality | Internal Medicine - Rheumatology |
Location | 628 E 12th St, Washington, 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 |
---|---|---|---|
1184629297 | NPI | - | NPPES |
8987081 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 27339 (North Carolina) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Randal White, MD 628 E 12th St, Washington, NC 27889-3409 Ph: (252) 948-4990 | Randal White, MD 628 E 12th St, Washington, NC 27889-3409 Ph: (252) 948-4990 |
Dr. John J. Inzerillo, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1209 Brown St, Washington, NC 27889 Phone: 252-975-4308 Fax: 252-946-1540 | |
Imran Syed, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4100 | |
Richard M Young, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1380 Cowell Farm Rd, Washington, NC 27889 Phone: 252-946-2101 Fax: 252-946-9896 | |
Deepti Ananthula, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1380 Cowell Farm Rd, Washington, NC 27889 Phone: 215-361-4854 | |
Melissa Anne Beretich, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 628 E 12th St, Attn James Manning, Washington, NC 27889 Phone: 252-946-0900 | |
Tara M Knott, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1380 Cowell Farm Road, Washington, NC 27889 Phone: 252-946-2101 Fax: 252-946-9896 |