| Dean Internal Medicine | |
|
1409 Yanceyville St Suite C Greensboro NC 27405-6960 | |
| (336) 954-1007 | |
| (336) 954-1183 |
| Full Name | Dean Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1409 Yanceyville St, Greensboro, North Carolina |
| Authorized Official Name and Position | Eric L Dean (PRESIDENT) |
| Authorized Official Contact | 3362077768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dean Internal Medicine Po Box 13118 Greensboro NC 27415-3118 Ph: (336) 954-1007 | Dean Internal Medicine 1409 Yanceyville St Suite C Greensboro NC 27405-6960 Ph: (336) 954-1007 |
| NPI Number | 1730505462 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 0345463899 |
|---|---|
| Medicare Enrollment ID | O20140602000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730505462 | NPI | - | NPPES |
| 7927976 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 25680 (North Carolina) | Secondary |
| Provider Name | Eric Dean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154383461 PECOS PAC ID: 4789759598 Enrollment ID: I20080813000500 |
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