| Dylan James Skinner, DO | |
| 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 | |
| (704) 333-0741 | |
| (704) 333-3356 | 
| Full Name | Dylan James Skinner | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 2001 Vail Ave Ste 320, Charlotte, 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 | 
|---|---|---|---|
| 1457914020 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086S0127X | Surgery - Trauma Surgery | 2024-00806 (North Carolina) | Secondary | 
| 208600000X | Surgery | 2024-00806 (North Carolina) | Primary | 
| Entity Name | Surgical Specialists Of Charlotte Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073599734 PECOS PAC ID: 3779519285 Enrollment ID: O20050714001059 | 
| Entity Name | Novant Health Prep Ii Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952107385 PECOS PAC ID: 1052835311 Enrollment ID: O20250408002445 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dylan James Skinner, DO Po Box 604350, Charlotte, NC 28260-4350 Ph: () - | Dylan James Skinner, DO 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 Ph: (704) 333-0741 | 
| Dr. Tuan Hoai Pham, M.D., PHD Surgery Medicare: Medicare Enrolled Practice Location: 1718 E 4th St Ste 807, Charlotte, NC 28204 Phone: 980-488-9630 Fax: 980-488-9635 | |
| Dr. John Gordon Morrison, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2015 Randolph Rd, Suite 201, Charlotte, NC 28207 Phone: 704-333-1259 Fax: 704-333-0371 | |
| Michael Passeri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204 Phone: 704-355-8816 | |
| Jeko Metodiev Madjarov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212 | |
| Dr. Mark Aaron Kuzich, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave Ste 320, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356 | |
| Benjamin Yglesias,  Surgery Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
| Jason Shade Burgess, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave Ste 320, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356 |