| Alexis F Teplick, MD | |
| 
					1001 Blythe Blvd, Medical Center Plaza, Suite 601, Charlotte, NC 28203-5866  | |
| (704) 381-9900 | |
| (704) 381-8848 | 
| Full Name | Alexis F Teplick | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 1001 Blythe Blvd, 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 | 
|---|---|---|---|
| 1083766208 | NPI | - | NPPES | 
| 1083766208 | Medicaid | NC | |
| NC1971 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | A90427 (California) | Secondary | 
| 208000000X | Pediatrics | 2013-02163 (North Carolina) | Primary | 
| Entity Name | Permanente Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alexis F Teplick, MD Po Box 601372, Charlotte, NC 28260-1372 Ph: (704) 381-9900  | Alexis F Teplick, MD 1001 Blythe Blvd, Medical Center Plaza, Suite 601, Charlotte, NC 28203-5866 Ph: (704) 381-9900  | 
Kristina Jasmin Harrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422  | |
Amanda Marie Sebring, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840  | |
Fnu Pardeep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600  | |
Nicole Ludmil Ivanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9908 Couloak Dr, Ste 103, Charlotte, NC 28216 Phone: 704-801-2025  | |
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610  | |
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905  | |
Dr. Shana Dale Wallace, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Randolph Rd, Suite 1010, Charlotte, NC 28207 Phone: 704-384-1390 Fax: 704-384-1063  |