MEDICARE: ROBERT ALLEN KRAUSE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	24857	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00200893	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	50318	OTHER	NC	BCBS
3	D9805	OTHER		MEDCOST
5	0128877	OTHER		UNITED HEALTHCARE
6	561714815B	OTHER		CIGNA

General Provider Information

NPI Number	:	1346231388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ALLEN KRAUSE MD

Provider Business Mailing Address
First Line	:	11 OFFICE PARK DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-7326
Country	:	US
Telephone Number	:	910-353-9906
Fax Number	:	910-353-4853

Provider Business Practice Location Address
First Line	:	11 OFFICE PARK DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-7326
Country	:	US
Telephone Number	:	910-353-9906
Fax Number	:	910-353-4853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	11/09/2009

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Directions to “ ROBERT ALLEN KRAUSE MD” Practice Location

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