| Fanny Sarah Alie-cusson, MD | |
|
111 W Grover St, Shelby, NC 28150-3824 | |
| (980) 487-1900 | |
| Not Available |
| Full Name | Fanny Sarah Alie-cusson |
|---|---|
| Gender | Female |
| Speciality | Vascular Surgery |
| Experience | 12 Years |
| Location | 111 W Grover St, Shelby, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225524978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2023-02260 (North Carolina) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 2023-02260 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atrium Health Cleveland | Shelby, NC | Hospital |
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolinas Physicians Network Inc. | 3375449655 | 2100 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Fanny Sarah Alie-cusson, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Fanny Sarah Alie-cusson, MD 111 W Grover St, Shelby, NC 28150-3824 Ph: (980) 487-1900 |
Douglas Bryan Young, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 W Grover St, Shelby, NC 28150 Phone: 704-487-8591 Fax: 704-480-9726 | |
Lauren Hutchinson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 Delta Park Dr, Shelby, NC 28150 Phone: 704-484-0464 | |
Michael Lynn Barringer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 W Grover St, Shelby, NC 28150 Phone: 704-487-8591 | |
James M Potts, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 W Grover St, Shelby, NC 28150 Phone: 704-487-8591 Fax: 704-480-9726 | |
Harry Douglas Hobson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Grover St, Shelby, NC 28150 Phone: 704-487-8591 | |
Stephen Jonathan Von, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Grover St, Shelby, NC 28150 Phone: 704-487-8591 |