| Dr Jerell Diego Chua, MPH, DO | |
|
3512 Wilkinson Blvd Ste 130, Charlotte, NC 28208-5698 | |
| (980) 575-1254 | |
| Not Available |
| Full Name | Dr Jerell Diego Chua |
|---|---|
| Gender | Male |
| Speciality | Osteopathic Manipulative Medicine |
| Experience | 16 Years |
| Location | 3512 Wilkinson Blvd Ste 130, 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 |
|---|---|---|---|
| 1962637827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2023-03221 (North Carolina) | Primary |
| 207Q00000X | Family Medicine | 1620 (South Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerwell Senior Primary Care Nc Jv Pc | 0345614384 | 26 |
| Entity Name | Centerwell Senior Primary Care Nc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073034625 PECOS PAC ID: 2264708486 Enrollment ID: O20171016002152 |
| Entity Name | Centerwell Senior Primary Care Nc Jv Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366181943 PECOS PAC ID: 0345614384 Enrollment ID: O20230315000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerell Diego Chua, MPH, DO 4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013 Ph: (407) 533-6837 | Dr Jerell Diego Chua, MPH, DO 3512 Wilkinson Blvd Ste 130, Charlotte, NC 28208-5698 Ph: (980) 575-1254 |
Leslie Kay Ruffing Adcock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000 | |
Dr. David Lee Wright, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 224 Parkwood Ave, Charlotte, NC 28206 Phone: 704-669-8031 | |
Alecia Marie Wilson, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10216 Perimeter Pkwy Ste C, Charlotte, NC 28216 Phone: 980-202-6526 | |
Lillian M. Teigland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210 Phone: 704-384-0588 Fax: 704-384-0580 | |
Felice A James, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991 | |
Heather M. Burney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208 Phone: 704-446-9987 | |
Dr. Jerome Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6111 Rumple Rd, Charlotte, NC 28262 Phone: 704-596-5067 Fax: 704-599-9458 |