| Dr John Alvar Sundin, MD | |
|
200 Hospital Ave, Suite 5, Jefferson, NC 28640-9244 | |
| (336) 846-8939 | |
| (336) 846-8370 |
| Full Name | Dr John Alvar Sundin |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 200 Hospital Ave, Jefferson, 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 |
|---|---|---|---|
| 1083725782 | NPI | - | NPPES |
| 5906217 | Medicaid | NC | |
| 809370 | Other | NC | PARTNERS MC |
| 7698911 | Other | NC | CIGNA HEALTHCARE |
| 56162 | Other | NC | MEDCOST |
| 144U3 | Other | NC | BCBS NC |
| 208394325 | Other | NC | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 200601912 (North Carolina) | Primary |
| Entity Name | Monument Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
| Entity Name | Monument Health Rapid City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Alvar Sundin, MD 200 Hospital Ave, Suite 5, Jefferson, NC 28640-9244 Ph: (336) 846-8939 | Dr John Alvar Sundin, MD 200 Hospital Ave, Suite 5, Jefferson, NC 28640-9244 Ph: (336) 846-8939 |
Dr. Charles Wade Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Ave, Suite 5, Jefferson, NC 28640 Phone: 336-246-7779 Fax: 336-846-8370 | |
Dr. Tammy L Thore, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 525 Luther Rd, Jefferson, NC 28640 Phone: 336-846-3315 |