Dr Judson Daniell Rackley, MD | |
200 Johnson Ridge Medical Park, Elkin, NC 28621-2443 | |
(336) 526-0040 | |
Not Available |
Full Name | Dr Judson Daniell Rackley |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 23 Years |
Location | 200 Johnson Ridge Medical Park, Elkin, 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 |
---|---|---|---|
1578583829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 2018-02609 (North Carolina) | Primary |
208800000X | Urology | ME0095219 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Hugh Chatham Memorial Hospital | Elkin, NC | Hospital |
Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
Novant Health Medical Park Hospital | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hugh Chatham Memorial Hospital Inc | 2062311442 | 87 |
Piedmont Stone Center Pllc | 2961315718 | 61 |
Forsyth Memorial Hospital Inc | 9537071790 | 531 |
Entity Name | Piedmont Stone Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700827409 PECOS PAC ID: 2961315718 Enrollment ID: O20031107000688 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Forsyth Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
Entity Name | Hugh Chatham Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447373063 PECOS PAC ID: 2062311442 Enrollment ID: O20040717000340 |
Mailing Address | Practice Location Address |
---|---|
Dr Judson Daniell Rackley, MD 360 Parkwood Medical Park, Elkin, NC 28621-2444 Ph: () - | Dr Judson Daniell Rackley, MD 200 Johnson Ridge Medical Park, Elkin, NC 28621-2443 Ph: (336) 526-0040 |
Dominick John Carbone Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Johnson Ridge Medical Park, Elkin, NC 28621 Phone: 336-526-0040 Fax: 336-526-0043 |