Dr Mark G Zukaitis, MD | |
2825 Randolph Rd, Charlotte, NC 28211-1075 | |
(704) 377-1647 | |
(704) 358-8267 |
Full Name | Dr Mark G Zukaitis |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 2825 Randolph Rd, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366406357 | NPI | - | NPPES |
1146V | Other | NC | BLUE CROSS NC ID# |
891146V | Medicaid | NC | |
N20225 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 20225 (North Carolina) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | 20225 (North Carolina) | Secondary |
Entity Name | East Carolina Anesthesia Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
Mailing Address | Practice Location Address |
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Dr Mark G Zukaitis, MD Po Box 5615, Fresno, CA 93755-5615 Ph: (559) 436-1000 | Dr Mark G Zukaitis, MD 2825 Randolph Rd, Charlotte, NC 28211-1075 Ph: (704) 377-1647 |
Michael J Mcnelis, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 | |
Dr. Kevin Todd Cortese, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Stephanie Francis Newby, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400 | |
Kelly Comolli Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3735 Glenlake Dr Ste 250, Charlotte, NC 28208 Phone: 704-749-5800 | |
Norman A Holmes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 | |
Dr. James Peter Deering Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277 Phone: 704-544-6920 Fax: 704-316-3061 | |
Dr. Kim Rita Blumberg, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-749-5800 Fax: 704-749-5819 |