Dr Jack Lee Vesano, MD | |
10030 Gilead Rd, Suite 160, Huntersville, NC 28078-7545 | |
(704) 323-2000 | |
Not Available |
Full Name | Dr Jack Lee Vesano |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 10030 Gilead Rd, Huntersville, 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 |
---|---|---|---|
1780660167 | NPI | - | NPPES |
8985061 | Medicaid | NC | |
180282 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 16631 (North Carolina) | Primary |
Entity Name | Orthocarolina, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497704217 PECOS PAC ID: 2062316821 Enrollment ID: O20031122000126 |
Mailing Address | Practice Location Address |
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Dr Jack Lee Vesano, MD 4601 Park Rd, Ste 300, Charlotte, NC 28209-3239 Ph: (704) 323-2000 | Dr Jack Lee Vesano, MD 10030 Gilead Rd, Suite 160, Huntersville, NC 28078-7545 Ph: (704) 323-2000 |
Dr. Mark Douglas Suprock, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10315 Hamptons Park Dr, Huntersville, NC 28078 Phone: 704-323-2800 | |
Dr. Brian Scott Delay, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10315 Hamptons Park Dr, Huntersville, NC 28078 Phone: 704-323-2800 | |
Dr. Gregory Matthew Kurkis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10315 Hamptons Park Dr, Huntersville, NC 28078 Phone: 704-323-2800 | |
Dr. Scott Leander Smith, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10315 Hamptons Park Dr, Huntersville, NC 28078 Phone: 704-323-2800 | |
Joseph Michael Gentile, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6909 Prosperity Church Rd, Huntersville, NC 28078 Phone: 704-384-1680 | |
Tracy Hendrickson Baltzell, NP Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9930 Kincey Ave Ste 100, Huntersville, NC 28078 Phone: 877-876-3783 Fax: 855-420-6402 |