| Dr Steven Robert Bauer, | |
|
12311 Copper Way, Suite 100, Charlotte, NC 28277-3642 | |
| (704) 540-1640 | |
| (704) 540-1639 |
| Full Name | Dr Steven Robert Bauer |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 12311 Copper Way, Charlotte, 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 |
|---|---|---|---|
| 1053402875 | NPI | - | NPPES |
| 207738 | Other | NY | NEW YORK MEDICAL LICENSE NUMBER |
| 01890899 | Medicaid | NY | |
| 2403427 | Other | NC | NC CIGNA MEDICARE NUMBER |
| 12V722 | Other | NY | BC/BS PROVIDER # |
| 2006-01723 | Other | NC | NORTH CAROLINA MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 207738 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Matthews Medical Center | Matthews, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Ballantyne Medical Associates Pllc | 6305949223 | 7 |
| Entity Name | Ballantyne Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184776130 PECOS PAC ID: 6305949223 Enrollment ID: O20070314000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven Robert Bauer, 12311 Copper Way, Suite 100, Charlotte, NC 28277-3642 Ph: (704) 540-1640 | Dr Steven Robert Bauer, 12311 Copper Way, Suite 100, Charlotte, NC 28277-3642 Ph: (704) 540-1640 |
Leslie Kay Ruffing Adcock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000 | |
Dr. David Lee Wright, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 224 Parkwood Ave, Charlotte, NC 28206 Phone: 704-669-8031 | |
Alecia Marie Wilson, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10216 Perimeter Pkwy Ste C, Charlotte, NC 28216 Phone: 980-202-6526 | |
Lillian M. Teigland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210 Phone: 704-384-0588 Fax: 704-384-0580 | |
Felice A James, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991 | |
Heather M. Burney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208 Phone: 704-446-9987 | |
Dr. Jerome Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6111 Rumple Rd, Charlotte, NC 28262 Phone: 704-596-5067 Fax: 704-599-9458 |