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James Anthony Classen

Surgery

Allopathic & Osteopathic Physicians

1841 Quiet Cv, Fayetteville, NC 28304-3857

PECOS Enrollment

This provider is enrolled in PECOS as JAMES CLASSEN.

Based on the most recent information from CMS, provider James Anthony Classen 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 yesterday at 11:47 AM.

Profile Details

Provider ID
1881689453
Provider Type
Individual
Full Name
Classen, James Anthony
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/20/2005
Last Updated
3/3/2008

Contact Information

Practice Location

1841 Quiet Cv, Fayetteville, NC 28304-3857

(910) 323-2626

(910) 483-6376

Mailing Location

PO Box 64367, Fayetteville, NC 28306-0367

(910) 323-2626

(910) 483-6376

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 33010 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 35690	Description Other	Issuer MED COST North Carolina
ID 1738884	Description Other	Issuer UNITED HEALTH CARE North Carolina
ID 22788	Description Other	Issuer BLUE CROSS BLUE SHIELD North Carolina
ID 8922788	Description Medicaid	Issuer Unlisted North Carolina

James Anthony Classen

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

ID

Description

Issuer

ID

Description

Issuer

Owen Drive Surgical Clinic, Pa

Fayetteville Vascular And Vein Center, Pa

Igwilo, Obinna Chukwudi

Huttinger, Ryan M

Mccullough, Daniel G.

Thirunavukarasu, Pragatheeshwar

Carolina Surgical Specialists, Pa

Morfesis, Florias Andrew

Faillace General Surgery

Freitas, Jenna