| Collin-jamal Smith, | |
|
102 Mason Farm Rd, Chapel Hill, NC 27514-4617 | |
| (984) 974-4462 | |
| (919) 843-9355 |
| Full Name | Collin-jamal Smith |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 5 Years |
| Location | 102 Mason Farm Rd, Chapel Hill, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093335820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2023-03374 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 261580 (North Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moses Cone Physician Services, Inc | 4284782210 | 335 |
| Entity Name | Moses Cone Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Collin-jamal Smith, 102 Mason Farm Rd, Chapel Hill, NC 27514-4617 Ph: (984) 974-4462 | Collin-jamal Smith, 102 Mason Farm Rd, Chapel Hill, NC 27514-4617 Ph: (984) 974-4462 |
Dr. Caroline Lillian Rao, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2238 Nelson Hwy, Ste 100, Chapel Hill, NC 27517 Phone: 919-401-1994 Fax: 919-401-1924 | |
Dr. Aida M Lugo-somolinos, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3100 Thurston-bowles, Unc Cb#7287, Chapel Hill, NC 27599 Phone: 919-843-9447 | |
Dr. Beth Goodrich Goldstein, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2238 Nelson Hwy, Ste 100, Chapel Hill, NC 27517 Phone: 919-407-1994 Fax: 919-401-1924 | |
Daren Joshua Simkin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 77 Vilcom Center Dr Ste 210, Chapel Hill, NC 27514 Phone: 919-684-3432 | |
Jayson R Miedema, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 410 Market St Ste 400, Department Of Dermatology, Chapel Hill, NC 27516 Phone: 919-966-2485 Fax: 919-966-6460 | |
Shweta Shukla, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 410 Market St Ste 400, Chapel Hill, NC 27516 Phone: 984-974-3900 |