| Dr Stephan O Gerlach, MD | |
|
250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 | |
| (252) 535-5011 | |
| Not Available |
| Full Name | Dr Stephan O Gerlach |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 250 Smith Church Rd, Roanoke Rapids, 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 |
|---|---|---|---|
| 1144352543 | NPI | - | NPPES |
| 560989789 | Other | NC | TAX ID |
| 11972 | Other | NC | BLUE CROSS PIN |
| 8911972 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 9801653 (North Carolina) | Primary |
| Entity Name | Halifax Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992846570 PECOS PAC ID: 5496664062 Enrollment ID: O20031125000253 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephan O Gerlach, MD 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 Ph: (252) 535-5011 | Dr Stephan O Gerlach, MD 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 Ph: (252) 535-5011 |
Kimberly Moseley Shearin, FNP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 Smith Church Road, Roanoke Rapids, NC 27870 Phone: 252-535-8011 Fax: 252-535-8481 | |
Dr. Nexer Jasser Palacios, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8011 | |
Dr. Douglas Hardy Snow, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8715 | |
Anna Stanislawa Bereziewicz, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-537-8715 |