| Dr Jon Dubose, MD | |
|
111 Hospital Dr, Tarboro, NC 27886-2011 | |
| (252) 641-7700 | |
| (252) 641-7313 |
| Full Name | Dr Jon Dubose |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 26 Years |
| Location | 111 Hospital Dr, Tarboro, 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 |
|---|---|---|---|
| 1114920162 | NPI | - | NPPES |
| 891330U | Medicaid | NC | |
| PENDING | Medicaid | SC |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolina Pines Regional Medical Center | Hartsville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartsville Medical Group Llc | 7012062714 | 39 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Hartsville Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598995300 PECOS PAC ID: 7012062714 Enrollment ID: O20090902000027 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Entity Name | Ies South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821779695 PECOS PAC ID: 1355705070 Enrollment ID: O20230914000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jon Dubose, MD 111 Hospital Dr, Tarboro, NC 27886-2011 Ph: (252) 641-7700 | Dr Jon Dubose, MD 111 Hospital Dr, Tarboro, NC 27886-2011 Ph: (252) 641-7700 |
Syed Sami Haider, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 252-641-7700 | |
Manisha Tiwari, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 212-423-6771 | |
Ramesh Raj Mishra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-824-1419 | |
Jeffrey Silver, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 | |
Paul Richard Woodard Ii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-824-5061 Fax: 252-824-5011 | |
Dr. Mahdi Sitouah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 285-641-7700 | |
Moulika Reddy Bandaru, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 Fax: 252-823-3164 |