Daniel M Ricci M.d. P.a. | |
207 E Murphy St Wallace NC 28466-1946 | |
(910) 285-4100 | |
(910) 285-4766 |
Full Name | Daniel M Ricci M.d. P.a. |
---|---|
Speciality | Internal Medicine |
Location | 207 E Murphy St, Wallace, North Carolina |
Authorized Official Name and Position | Daniel Michael Ricci (PRESIDENT) |
Authorized Official Contact | 9102854100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Daniel M Ricci M.d. P.a. Po Box 968 Wallace NC 28466-0968 Ph: (910) 285-4100 | Daniel M Ricci M.d. P.a. 207 E Murphy St Wallace NC 28466-1946 Ph: (910) 285-4100 |
NPI Number | 1689673618 |
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Provider Enumeration Date | 07/20/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 8729990361 |
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Medicare Enrollment ID | O20031103000480 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689673618 | NPI | - | NPPES |
017CT | Other | NC | BCBS GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (North Carolina) | Primary |
Provider Name | Daniel M Ricci |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528067519 PECOS PAC ID: 3971415415 Enrollment ID: I20050714000968 |
Provider Name | Maryanna Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720541220 PECOS PAC ID: 5395078869 Enrollment ID: I20190615000203 |
Blair Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 E Main St, Wallace, NC 28466 Phone: 910-285-3380 | |
Po Powell Management Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr Ste F, Wallace, NC 28466 Phone: 910-665-1780 Fax: 910-665-1780 | |
Wallace Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Medical Village Dr, Unit F, Wallace, NC 28466 Phone: 910-552-1580 Fax: 910-665-1780 |