| Dr George A Trivette, MD | |
|
200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | |
| (047) 765-2578 | |
| Not Available |
| Full Name | Dr George A Trivette |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 200 Queens Rd Ste 400, Charlotte, 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 |
|---|---|---|---|
| 1417912361 | NPI | - | NPPES |
| 816201 | Medicaid | SC | |
| 010236576 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 1983 (South Carolina) | Primary |
| Entity Name | Piedmont Carolinas Radiation Therapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538485578 PECOS PAC ID: 8325038763 Enrollment ID: O20040517000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George A Trivette, MD 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 Ph: (047) 765-2578 | Dr George A Trivette, MD 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 Ph: (047) 765-2578 |
Whitney Feltus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 980-208-1704 Fax: 704-926-1832 | |
Edward Barnwell Black, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1705 East Blvd, Charlotte, NC 28203 Phone: 704-909-5960 Fax: 704-770-0501 | |
Thaddeus Drexel Houston, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 East Blvd, Charlotte, NC 28203 Phone: 704-334-7800 Fax: 704-414-7512 | |
Matthew James Locker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 Fax: 704-926-1832 | |
Kelli A. Reardon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Queens Rd, Charlotte, NC 28204 Phone: 434-982-0777 Fax: 434-982-0792 | |
Robert Duprey, Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 E Morehead St Ste 300, Charlotte, NC 28202 Phone: 704-334-7800 | |
Mr. Andrew Joseph Bojanowski, PA-C Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 |