| Dr Craig S Self, MD | |
|
646 Hartness Rd, Statesville, NC 28677-3423 | |
| (704) 872-4108 | |
| (704) 873-6517 |
| Full Name | Dr Craig S Self |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 31 Years |
| Location | 646 Hartness Rd, Statesville, 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 |
|---|---|---|---|
| 1154301844 | NPI | - | NPPES |
| 000000293958 | Other | SC | UNISON HEALTH PLAN SC |
| 1447C | Other | NC | BCBS NC |
| 5906409 | Medicaid | NC | |
| 81899 | Other | SC | CHC CARES OF SC |
| P00421356 | Other | SC | RAILROAD MEDICARE |
| Q37006 | Medicaid | SC | |
| 7405845 | Other | NC | AETNA |
| 199111 | Other | NC | MEDCOST |
| 20096155 | Other | SC | SELECT HEALTH OF SC |
| 2687 | Other | NC | EVOLUTIONS |
| 01152096 | Other | SC | AMERIGROUP COMMUNITY CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 37314-020 (Wisconsin) | Secondary |
| 207W00000X | Ophthalmology | 2006-01037 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iredell Memorial Hospital Inc | Statesville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charlotte Eye Ear Nose And Throat Associates Pa | 0446155451 | 147 |
| Entity Name | Charlotte Eye Ear Nose & Throat Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043287469 PECOS PAC ID: 0446155451 Enrollment ID: O20031203000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Craig S Self, MD 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3000 | Dr Craig S Self, MD 646 Hartness Rd, Statesville, NC 28677-3423 Ph: (704) 872-4108 |
Stanley F Sliwinski Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 208 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-8235 | |
Dr. Walter Bowlin Holland, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 646 Hartness Rd, Statesville, NC 28677 Phone: 704-872-4108 Fax: 704-873-6517 | |
Rachel Peck Sabo, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 646 Hartness Rd, Statesville, NC 28677 Phone: 704-872-4108 Fax: 704-873-6517 | |
Dr. Steve Malone Mckinnon, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1835 Davie Ave, 413, Statesville, NC 28677 Phone: 704-873-1463 Fax: 704-873-1467 | |
Dr. Brent Blair Warren, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 646 Hartness Rd, Statesville, NC 28677 Phone: 704-872-4108 Fax: 704-873-6517 |