| Bethany Fosu, MD | |
|
2330 Concord Ave, Monroe, NC 28110-8767 | |
| (704) 296-4300 | |
| Not Available |
| Full Name | Bethany Fosu |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2330 Concord Ave, Monroe, 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 |
|---|---|---|---|
| 1538653738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD210001398 (District Of Columbia) | Primary |
| 208000000X | Pediatrics | LL52596 (South Carolina) | Secondary |
| Entity Name | Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Fosu, MD 2330 Concord Ave, Monroe, NC 28110-8767 Ph: (704) 296-4800 | Bethany Fosu, MD 2330 Concord Ave, Monroe, NC 28110-8767 Ph: (704) 296-4300 |
Dr. Robert John Kadijevic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1328 Patterson Street, Union Pediatrics, Monroe, NC 28112 Phone: 704-283-2000 Fax: 704-225-0885 | |
Dr. Garnet D Maharajh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd, Suite 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465 | |
Dr. Deborah Queen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd, Suite 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465 | |
Dr. Laura Taylor Pridemore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd Ste 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465 | |
Erin Lee Washburn, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd Ste 110, Monroe, NC 28110 Phone: 704-384-8460 | |
Dr. George P Thevaos, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1994 Wellness Blvd, Suite 110, Monroe, NC 28110 Phone: 704-384-8460 Fax: 704-384-8465 |