Thomas Lorenzo Walden Jr, MD | |
1200 Pine Run Dr, Lumberton, NC 28358-2180 | |
(910) 671-5730 | |
(910) 671-5732 |
Full Name | Thomas Lorenzo Walden Jr |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 31 Years |
Location | 1200 Pine Run Dr, Lumberton, 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 |
---|---|---|---|
1447214028 | NPI | - | NPPES |
891195L | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 9800410 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeastern Regional Medical Center | Lumberton, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Radiation Oncology | 8426078981 | 4 |
Entity Name | Southeastern Radiation Oncology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851355390 PECOS PAC ID: 8426078981 Enrollment ID: O20091021000365 |
Mailing Address | Practice Location Address |
---|---|
Thomas Lorenzo Walden Jr, MD Po Box 41208, Fayetteville, NC 28309-1208 Ph: (910) 609-6691 | Thomas Lorenzo Walden Jr, MD 1200 Pine Run Dr, Lumberton, NC 28358-2180 Ph: (910) 671-5730 |
Dr. Andrew Edward Simays, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 | |
Mack Ira Mcclain, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 | |
Robert J Cherichella, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 304 Grande Oak Blvd W, Suite B, Lumberton, NC 28358 Phone: 910-674-4579 Fax: 910-674-4579 | |
Dr. Thomas David Fisher, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 | |
George Hurst Provosty, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 | |
Boyd Bennett Gasque Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 |