| Dr Thomas Brent Warren, MD | |
|
140 Gateway Blvd, Mooresville, NC 28117-8522 | |
| (704) 664-9638 | |
| (704) 664-1859 |
| Full Name | Dr Thomas Brent Warren |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 31 Years |
| Location | 140 Gateway Blvd, 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 |
|---|---|---|---|
| 1386715639 | NPI | - | NPPES |
| 130KY | Other | NC | BCBS |
| 89130KY | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 200000659 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iredell Memorial Hospital Inc | Statesville, NC | Hospital |
| Lake Norman Regional Medical Center | Mooresville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Healthcare Pa | 9638070683 | 224 |
| Entity Name | Piedmont Healthcare Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912999897 PECOS PAC ID: 9638070683 Enrollment ID: O20040114000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Brent Warren, MD 140 Gateway Blvd, Mooresville, NC 28117-7561 Ph: (704) 664-9638 | Dr Thomas Brent Warren, MD 140 Gateway Blvd, Mooresville, NC 28117-8522 Ph: (704) 664-9638 |
Jason Barnes, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 149 Plantation Ridge Dr Ste 190, Mooresville, NC 28117 Phone: 704-658-0595 Fax: 704-658-0916 | |
Dr. Herbert Lee Wettreich, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 140 Gateway Blvd, Mooresville, NC 28117 Phone: 704-664-9638 Fax: 704-664-1859 | |
Dr. Roy Sheldon Lewis, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 144 Fountain Pl, Mooresville, NC 28117 Phone: 704-658-0595 Fax: 704-658-0916 | |
Dr. Keith Adam Meetze, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 140 Gateway Blvd, Mooresville, NC 28117 Phone: 704-664-9638 Fax: 704-664-1859 |