| Dr Bryan Drew Blitstein, MD | |
|
146 Medical Park Rd Ste 108, Mooresville, NC 28117-8529 | |
| (704) 660-4040 | |
| (704) 660-4884 |
| Full Name | Dr Bryan Drew Blitstein |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 146 Medical Park Rd Ste 108, Mooresville, 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 |
|---|---|---|---|
| 1932185626 | NPI | - | NPPES |
| 8910672 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 9700865 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Duke Health Lake Norman Hospital | Mooresville, NC | Hospital |
| Novant Health Huntersville Medical Center | Huntersville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Duke Health Integrated Practice Inc | 8325412737 | 3140 |
| Novant Health Prep Ii Llc | 1052835311 | 47 |
| Surgical Specialists Of Charlotte Pa | 3779519285 | 5 |
| Entity Name | Surgical Specialists of Charlotte PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073599734 PECOS PAC ID: 3779519285 Enrollment ID: O20050714001059 |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Entity Name | Novant Health Prep II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952107385 PECOS PAC ID: 1052835311 Enrollment ID: O20250408002445 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan Drew Blitstein, MD Po Box 110566, Durham, NC 27709-5566 Ph: (919) 620-4555 | Dr Bryan Drew Blitstein, MD 146 Medical Park Rd Ste 108, Mooresville, NC 28117-8529 Ph: (704) 660-4040 |
Francis Michael Campbell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 123 Professional Park Dr, Suite 101, Mooresville, NC 28117 Phone: 704-663-7905 Fax: 704-360-4954 |
Michelle Marie Bertsch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd Ste 306, Mooresville, NC 28117 Phone: 704-660-2610 Fax: 704-660-2611 |
Wallace Clements Tarry, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 Medical Park Rd, Ste 206, Mooresville, NC 28117 Phone: 704-799-3939 |
Dr. Marissa Novack, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 Medical Park Rd Ste 202, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-660-4028 |
Timothy Ryan Heider, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 106 Alexander Bank Dr Ste 300, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-660-4967 |
Dr. Matthew Jeffrey Johnson Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 229 Medical Park Rd Ste 300, Mooresville, NC 28117 Phone: 704-360-9995 Fax: 704-360-2221 |
Brendan M Marr, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd Ste 303, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-660-4967 |