Anna Landen, PA-C provides adult oncology care at Duke Cancer Center and its GI Clinic in Durham and holds board certification from the National Commission on Certification of Physician Assistants.
Adults seeking oncology care in Durham
Patients seeking consultations for gastrointestinal cancers through Duke's GI Clinic
Patients needing coordinated care involving medical, surgical, and radiation oncology specialists
Astrid M. Botty van den Bruele, MD specializes in breast cancer surgery, including lumpectomy, mastectomy, and sentinel lymph node biopsy, at four Durham locations.
Breast cancer lumpectomy or breast-conserving surgery
Skin-sparing or nipple-sparing mastectomy
Evaluation or treatment of benign, high-risk, or malignant breast disease
How much does an oncology consultation cost in Durham?
The amount depends on insurance, network status, the specialist's billing arrangement, and whether imaging or laboratory tests are performed. Ask the clinic and insurer for the consultation fee, expected copay or coinsurance, and prior-authorization requirements before the visit.
Do I need a referral to see an oncologist in Durham?
Referral requirements vary by insurance plan and clinic. Medicare generally does not require a specialist referral, while many Medicare Advantage and employer plans may; confirm with the oncology office and insurer.
How quickly can I get a new oncology appointment?
Appointment timing depends on the cancer type, urgency, records, and insurance authorization. Elizabeth L. Wells's profile states that new appointments may be available within 48 hours, but availability should be confirmed directly.
When is a cancer-related symptom an emergency?
Call the oncology team urgently for symptoms such as trouble breathing, uncontrolled bleeding, confusion, or severe pain. During chemotherapy, a temperature of 100.4°F (38°C) or higher is commonly treated as an emergency requiring immediate instructions; follow the care team's specific threshold.
What should I bring to a first oncology appointment?
Bring medication and allergy lists, insurance information, prior imaging and pathology reports if available, and a list of questions. Ask whether the clinic needs records sent in advance, especially pathology slides or imaging files.