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Bao-Anh Ngoc Bui

Family Medicine

Allopathic & Osteopathic Physicians

1756 Metromedical Dr, Fayetteville, NC 28304-3861

PECOS Enrollment

This provider is enrolled in PECOS as BAO-ANH BUI.

Based on the most recent information from CMS, provider Bao-Anh Ngoc Bui is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1578787024
Provider Type
Individual
Full Name
Bui, Bao-Anh Ngoc
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/13/2007
Last Updated
8/10/2023

Contact Information

Practice Location

1756 Metromedical Dr, Fayetteville, NC 28304-3861

(910) 485-8831

(866) 559-1259

Mailing Location

PO Box 2582, Bryson City, NC 28713-2582

(910) 239-8100

(828) 538-4441

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 2009-01251 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 2075474B	Description Other	Issuer MEDICARE PTAN North Carolina
ID P01034103	Description Other	Issuer RAILROAD MEDICARE North Carolina

Bao-Anh Ngoc Bui

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Raleigh Durham Medical Group Pa

Precision Health, Pc

Melley, Ofelia Marie

Spivey, Beverly J

Imber, Christopher Dean

Mccutchan, Wenda E

Permashwar, Balichand

Hines, Kristina Ashley

Meltzer, Morton

Lester, James Scott