Tyler Stutzman, MD | |
1331 N Elm St, Greensboro, NC 27401-6302 | |
(620) 899-7268 | |
(620) 899-7268 |
Full Name | Tyler Stutzman |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1331 N Elm St, Greensboro, 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 |
---|---|---|---|
1295220507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2023-00173 (North Carolina) | Primary |
Entity Name | Sanford Bismarck |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20220822002287 |
Mailing Address | Practice Location Address |
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Tyler Stutzman, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Tyler Stutzman, MD 1331 N Elm St, Greensboro, NC 27401-6302 Ph: (620) 899-7268 |
Melinda Ann Blietz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Raymond Charles Rubner Jr., M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 1331 N Elm St, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Dr. David Sung Kwon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
James Judd Green Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Dr. Paul Douglas Barry, MD Radiology Medicare: Medicare Enrolled Practice Location: 1331 North Elm Street, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Stacy Wentworth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 N. Elam Avenue, Greensboro, NC 27403 Phone: 336-832-1100 | |
Dr. Otis Norwood Fisher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1317 N Elm St, Suite 1b, Greensboro, NC 27401 Phone: 336-274-4285 Fax: 336-268-9062 |