| Dr Ryan Hines, MD | |
|
171 Fairview Rd, Mooresville, NC 28117-9500 | |
| (704) 660-4000 | |
| Not Available |
| Full Name | Dr Ryan Hines |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 24 Years |
| Location | 171 Fairview Rd, Mooresville, 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 |
|---|---|---|---|
| 1760453070 | NPI | - | NPPES |
| N0061A | Medicaid | SC | |
| 5901088 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 200500619 (North Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 2005-00619 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Norman Regional Medical Center | Mooresville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Norman Emergency Medical Associates Llc | 5496927972 | 8 |
| Duke Health Integrated Practice Inc | 8325412737 | 3085 |
| Entity Name | Lake Norman Emergency Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053690560 PECOS PAC ID: 5496927972 Enrollment ID: O20111005000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Hines, MD 3101 Latrobe Dr, Charlotte, NC 28211-4849 Ph: (704) 376-7362 | Dr Ryan Hines, MD 171 Fairview Rd, Mooresville, NC 28117-9500 Ph: (704) 660-4000 |
Dr. Raymond Joseph Biersbach, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 171 Fairview Rd, Mooresville, NC 28117 Phone: 704-660-4130 | |
Dr. Christopher Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Sumter Dr, Mooresville, NC 28117 Phone: 704-660-6939 | |
Susan Sturgess, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 E Maranta Rd, Mooresville, NC 28117 Phone: 704-799-6406 | |
John William Woodward Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Kilson Dr Ste 201, Mooresville, NC 28117 Phone: 704-663-2091 |