Organization
PEACOCK-BETTENDORF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA PEACOCK BETTENDORF M.D. (MEMBER/MANAGER)
(910) 458-8616
Entity
Organization
Contact information
Practice address
2208 S 17TH ST, SECOND FLOOR, WILMINGTON, NC 28401-7515
(910) 251-6755
(910) 458-8619
Mailing address
PO BOX 15671, WILMINGTON, NC 28408-5671
(910) 251-6755
(910) 458-8619
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
9400419
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130AX
BLUE CROSS/BLUE SHIELD
NC
05
—
89130AX
—
NC
Enumeration date
08/24/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us