| Aster Derar Ghebremedhin, MD | |
|
6324 Fairview Rd Ste 350, Suite 350, Charlotte, NC 28210-4171 | |
| (704) 384-8600 | |
| (704) 384-8610 |
| Full Name | Aster Derar Ghebremedhin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 6324 Fairview Rd Ste 350, 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 |
|---|---|---|---|
| 1245292713 | NPI | - | NPPES |
| N00124 | Medicaid | SC | |
| 8935228 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 9300124 (North Carolina) | Primary |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Nh Digital Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427683044 PECOS PAC ID: 9537588934 Enrollment ID: O20201005002074 |
| Mailing Address | Practice Location Address |
|---|---|
| Aster Derar Ghebremedhin, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-8600 | Aster Derar Ghebremedhin, MD 6324 Fairview Rd Ste 350, Suite 350, Charlotte, NC 28210-4171 Ph: (704) 384-8600 |
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 |