| Dr Jennifer M Tango, MD | |
|
920 Church St N, Concord, NC 28025-2927 | |
| (704) 403-3000 | |
| Not Available |
| Full Name | Dr Jennifer M Tango |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 920 Church St N, Concord, 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 |
|---|---|---|---|
| 1588051288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036174845 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | A144419 (California) | Primary |
| Entity Name | Carolinas Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
| 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 |
| Entity Name | Wake Forest Emergency Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer M Tango, MD 920 Church St N, Concord, NC 28025-2927 Ph: (704) 403-3000 | Dr Jennifer M Tango, MD 920 Church St N, Concord, NC 28025-2927 Ph: (704) 403-3000 |
Henry Gerard Colmer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 513-558-8114 Fax: 513-558-5791 | |
Amber Gombash, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000 | |
David Petrovich Rusev, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000 | |
Dr. Jon L Hobbs, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1028 Lee Ann Dr Ne, Concord, NC 28025 Phone: 704-782-1892 Fax: 704-786-1890 | |
Neel Andharia, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000 | |
Dr. Gregory Lawrence Geers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025 Phone: 704-782-1892 Fax: 704-786-1890 | |
Dr. Melissa Amy Ribeiro, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000 |