| Raleigh Endocrine Associates | |
|
3410 Executive Dr Suite 205 Raleigh NC 27609 | |
| (919) 876-7692 | |
| (919) 954-3365 |
| Full Name | Raleigh Endocrine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 3410 Executive Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Denis I Becker (OWNER DIRECTOR) |
| Authorized Official Contact | 9198767692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh Endocrine Associates Po Box 24848 Winston Salem NC 27114-4848 Ph: (336) 714-2505 | Raleigh Endocrine Associates 3410 Executive Dr Suite 205 Raleigh NC 27609 Ph: (919) 876-7692 |
| NPI Number | 1053502559 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 12/12/2008 |
| Medicare PECOS PAC ID | 8527139187 |
|---|---|
| Medicare Enrollment ID | O20080625000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053502559 | NPI | - | NPPES |
| 0199A | Other | NC | BCBS |
| 890199A | Medicaid | NC | |
| DN4844 | Other | NC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 17330 (North Carolina) | Primary |
| Provider Name | Shawnee D Weir |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245208529 PECOS PAC ID: 7416949094 Enrollment ID: I20040401001728 |
| Provider Name | Denis I Becker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750359113 PECOS PAC ID: 9830175827 Enrollment ID: I20040629001020 |
| Provider Name | Glenn M Stall |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841268208 PECOS PAC ID: 2860564036 Enrollment ID: I20080702000677 |
| Provider Name | Corey D Berlin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154399418 PECOS PAC ID: 0345312534 Enrollment ID: I20080703000151 |
| Provider Name | Elizabeth H Holt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215905674 PECOS PAC ID: 7618157934 Enrollment ID: I20110203000624 |
| Provider Name | Angela M Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952573719 PECOS PAC ID: 9830338466 Enrollment ID: I20130612000000 |
| Provider Name | Cecilia I Batchelor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548696909 PECOS PAC ID: 8022301654 Enrollment ID: I20160720000548 |
| Provider Name | Sadia Ejaz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922481977 PECOS PAC ID: 3577865294 Enrollment ID: I20200727000477 |
| Provider Name | Bhairavi Sheshadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255745188 PECOS PAC ID: 9931437126 Enrollment ID: I20210310000018 |
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