| Dr Charles Edward Jahrsdorfer, MD | |
|
3282 Charles Blvd, Greenville, NC 27858 | |
| (252) 606-0947 | |
| (252) 606-0949 |
| Full Name | Dr Charles Edward Jahrsdorfer |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3282 Charles Blvd, Greenville, 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 |
|---|---|---|---|
| 1497723811 | NPI | - | NPPES |
| 138NO | Other | NC | BCBS |
| 89016RK | Medicaid | NC | |
| 016RK | Other | NC | GROUP # |
| 89138NO | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200401074 (North Carolina) | Primary |
| Entity Name | Carolina East Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942252341 PECOS PAC ID: 6204885114 Enrollment ID: O20050118000919 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Edward Jahrsdorfer, MD 3282 Charles Blvd, Greenville, NC 27858 Ph: (252) 756-3713 | Dr Charles Edward Jahrsdorfer, MD 3282 Charles Blvd, Greenville, NC 27858 Ph: (252) 606-0947 |
Dr. Giselle Devonne Blair, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 315 W 2nd St, Greenville, NC 27834 Phone: 252-507-0588 Fax: 855-937-0774 | |
Dr. Emily L Bray, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Heart Dr, Greenville, NC 27834 Phone: 252-744-4611 Fax: 252-744-3201 | |
Dr. Shivajirao Prakash Patil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Heart Dr, Greenville, NC 27834 Phone: 252-744-4611 Fax: 252-744-3040 | |
Dr. Jessica Lee Zimmerman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Heart Dr, Greenville, NC 27834 Phone: 252-744-4611 Fax: 252-744-3201 | |
Dr. Ashton Fox Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-4757 Fax: 252-744-5014 | |
Dr. Celeste T. Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1204 E Fire Tower Rd, Greenville, NC 27858 Phone: 252-744-1122 Fax: 252-744-1133 | |
Dr. Sean Carl Vidulich, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1204 E Fire Tower Rd, Greenville, NC 27858 Phone: 252-744-1122 Fax: 252-744-1133 |