| Dr James N Antezana, MD | |
|
10512 Park Rd Ste 111, Charlotte, NC 28210-8469 | |
| (704) 910-8380 | |
| (704) 817-9980 |
| Full Name | Dr James N Antezana |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 28 Years |
| Location | 10512 Park Rd Ste 111, Charlotte, 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 |
|---|---|---|---|
| 1134174436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2009-00158 (North Carolina) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 2009-00158 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jk Shah Cardiology Associates Pa | 3577451756 | 14 |
| South Charlotte General And Vascular Surgery Pllc | 9830371095 | 3 |
| South Charlotte General And Vascular Surgery Pllc | 9830371095 | 3 |
| Entity Name | Jk Shah Cardiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134166507 PECOS PAC ID: 3577451756 Enrollment ID: O20040324001273 |
| Entity Name | South Charlotte General And Vascular Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144524190 PECOS PAC ID: 9830371095 Enrollment ID: O20150820011171 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James N Antezana, MD 10512 Park Rd, Ste. 111, Charlotte, NC 28210-8475 Ph: (704) 910-8380 | Dr James N Antezana, MD 10512 Park Rd Ste 111, Charlotte, NC 28210-8469 Ph: (704) 910-8380 |
Dr. Tuan Hoai Pham, M.D., PHD Surgery Medicare: May Accept Medicare Assignments Practice Location: 1718 E 4th St Ste 807, Charlotte, NC 28204 Phone: 980-488-9630 Fax: 980-488-9635 | |
Dr. John Gordon Morrison, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2015 Randolph Rd, Suite 201, Charlotte, NC 28207 Phone: 704-333-1259 Fax: 704-333-0371 | |
Michael Passeri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204 Phone: 704-355-8816 | |
Jeko Metodiev Madjarov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212 | |
Dr. Mark Aaron Kuzich, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 1918 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356 | |
Benjamin Yglesias, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Jason Shade Burgess, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1918 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356 |