| Dr Jeffrey Chang, MD | |
| 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 | |
| (336) 274-9617 | |
| (336) 482-2177 | 
| Full Name | Dr Jeffrey Chang | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 1331 N Elm St, Greensboro, 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 | 
|---|---|---|---|
| 1194959056 | NPI | - | NPPES | 
| 158HK | Other | NC | BCBS | 
| 5950051 | Medicaid | NC | |
| 9802504 | Other | NC | AETNA | 
| 1194959056 | Medicaid | VA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2010-00716 (North Carolina) | Primary | 
| Entity Name | Wake Forest Health Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 | 
| Entity Name | The Moses H Cone Memorial Hospital Operating Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541 | 
| Entity Name | Diagnostic Radiology & Imaging Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265469795 PECOS PAC ID: 4183517097 Enrollment ID: O20040204001013 | 
| Entity Name | Greensboro Radiology Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20040422001214 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jeffrey Chang, MD 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 Ph: (336) 274-9617 | Dr Jeffrey Chang, MD 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 Ph: (336) 274-9617 | 
| Melinda Ann Blietz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-6682 Fax: 336-274-8097 | |
| Raymond Charles Rubner Jr., M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 1331 N Elm St, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
| Darren Lee Transue, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-6682 Fax: 336-274-8097 | |
| Dr. David Sung Kwon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
| James Judd Green Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-6682 Fax: 336-274-8097 | |
| Dr. Paul Douglas Barry, MD Radiology Medicare: Medicare Enrolled Practice Location: 1331 North Elm Street, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
| Stacy Wentworth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 N. Elam Avenue, Greensboro, NC 27403 Phone: 336-832-1100 |