| Dr Thomas Edward Jenike, MD | |
|
106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 | |
| (704) 384-7101 | |
| (704) 384-7101 |
| Full Name | Dr Thomas Edward Jenike |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 106 Langtree Village Dr Ste 200, Mooresville, 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 |
|---|---|---|---|
| 1417937368 | NPI | - | NPPES |
| 8911472 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9601351 (North Carolina) | Primary |
| 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 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679528384 PECOS PAC ID: 1153234893 Enrollment ID: O20060828000304 |
| Entity Name | Nh Digital Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427683044 PECOS PAC ID: 9537588934 Enrollment ID: O20201005002074 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Edward Jenike, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-7101 | Dr Thomas Edward Jenike, MD 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7594 Ph: (704) 384-7101 |
Dr. Eva A Imperial, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 114 Gateway Blvd Ste B, Mooresville, NC 28117 Phone: 980-435-0409 | |
Alissandro Roque Castillo, MD, MBA Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 478 Williamson Rd, Suite B, Mooresville, NC 28117 Phone: 704-662-3627 Fax: 704-662-3229 | |
Dr. Rebecca Mcelhannon Panuski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Corporate Park Dr, Suite 200 & 300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101 | |
Dr. Bruce S Mather, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Corporate Park Dr, Suite 200 & 300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101 | |
Dr. Craig Lincoln Anthony, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101 | |
Amber Hicks-thibodeau, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 Phone: 704-658-0011 Fax: 704-658-0012 | |
Emily Marie Nabors, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 142 Professional Park Dr Ste 300, Mooresville, NC 28117 Phone: 704-696-2083 Fax: 704-924-7742 |