| Dr William Charles Vanness Iii, MD | |
|
116 Morlake Dr, Suite 204, Mooresville, NC 28117 | |
| (704) 663-3777 | |
| (704) 664-6615 |
| Full Name | Dr William Charles Vanness Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 116 Morlake Dr, 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 |
|---|---|---|---|
| 1679558753 | NPI | - | NPPES |
| 89126TU | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 200001012 (North Carolina) | Primary |
| Entity Name | Pain & Rehab Institute Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972673077 PECOS PAC ID: 8426004292 Enrollment ID: O20050324000392 |
| Entity Name | Neuromonitoring Services Of America Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134307531 PECOS PAC ID: 1850452905 Enrollment ID: O20090722000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Charles Vanness Iii, MD 116 Morlake Dr, Suite 204, Mooresville, NC 28117-9232 Ph: (704) 663-3777 | Dr William Charles Vanness Iii, MD 116 Morlake Dr, Suite 204, Mooresville, NC 28117 Ph: (704) 663-3777 |
John Michael Lesher, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd, Mooresville, NC 28117 Phone: 704-664-9506 Fax: 980-829-0640 | |
Allison K Miller, LAT, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 325 Airpark Dr, Mooresville, NC 28115 Phone: 704-402-4416 | |
Mrs. Caitlyn M Yackulich, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 114 Welton Way, Suite B, Mooresville, NC 28117 Phone: 704-660-6551 Fax: 704-660-9894 | |
Dr. Mark Allen Goodson, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 114 Welton Way Ste A, Mooresville, NC 28117 Phone: 704-664-5766 Fax: 704-664-9311 | |
Dr. Tyrone Edward Pitt Jr., DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 136 Corporate Park Dr Ste A, Mooresville, NC 28117 Phone: 704-360-2796 Fax: 704-360-2798 |