Mary Katherine Anastasio, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Durham, NC
NPI 1609337765 · NPPES record last updated Mar 6, 2023
Key facts
- NPI
- 1609337765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2301 Erwin Rd
Durham, NC 27705-4699 - Phone
- (919) 684-8111
- NPI assigned
- Mar 29, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231108001726 | NC | Practitioner - Obstetrics/Gynecology | 4789031097 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current |
Accepting new patients |
Locations
20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
2608 Erwin Rd
Ste 200
Durham, NC 27705
Phone (919) 684-2595
3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000
4101 Macon Pond Rd
Raleigh, NC 27607
Phone (919) 781-7070
Interoperability endpoints
- mmontesdeoca404174@direct.medicine.duke.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2301 Erwin Rd
Durham, NC 27705-4699
Mailing address
2301 Erwin Rd
Durham, NC 27705-4699
Other providers in Durham, NC
- Amy Lakin Counseling PLLC
- Amy T Farrar DDS PLLC
- Michael Amyot
- An Out of the Box Experience, P.C.
- Si Sandy An
- Aurellia Anderson Thompson
- Aubree Lee Anderson
- Camryn Anderson
- Celest Elice Anderson
- Christine Anderson
All providers in Durham, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.