| Dr Kris Ruangchotvit, MD | |
|
9929 Rea Rd Ste 201, Waxhaw, NC 28173-6439 | |
| (704) 316-1650 | |
| (704) 316-1651 |
| Full Name | Dr Kris Ruangchotvit |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 11 Years |
| Location | 9929 Rea Rd Ste 201, Waxhaw, 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 |
|---|---|---|---|
| 1669854048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MT209879 (Pennsylvania) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2019-00957 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kris Ruangchotvit, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-1261 | Dr Kris Ruangchotvit, MD 9929 Rea Rd Ste 201, Waxhaw, NC 28173-6439 Ph: (704) 316-1650 |
Richard Bagge, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7601 Radin Rd, Waxhaw, NC 28173 Phone: 704-843-6565 Fax: 704-843-6207 | |
Dr. Jessica Rankins Parker, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9929 Rea Rd, Waxhaw, NC 28173 Phone: 704-316-1055 | |
Kathryn Rosalie Schnapp, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9929 Rea Rd Ste 101, Waxhaw, NC 28173 Phone: 704-316-1055 Fax: 704-316-1056 |