| Gregory Allen Mantooth, MD | |
|
937 Cox Rd, Gastonia, NC 28054-3455 | |
| (704) 898-8014 | |
| (704) 898-8018 |
| Full Name | Gregory Allen Mantooth |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 33 Years |
| Location | 937 Cox Rd, Gastonia, 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 |
|---|---|---|---|
| 1124029707 | NPI | - | NPPES |
| 8912965 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 200101091 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Plastic Surgery And Dermatology Pa | 6800875188 | 56 |
| Entity Name | Piedmont Plastic Surgery & Dermatology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801832837 PECOS PAC ID: 6800875188 Enrollment ID: O20040719001562 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Allen Mantooth, MD 1072 X Ray Dr Ste B, Gastonia, NC 28054-7488 Ph: (704) 671-1094 | Gregory Allen Mantooth, MD 937 Cox Rd, Gastonia, NC 28054-3455 Ph: (704) 898-8014 |
Matthew Aaron Applebaum, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 937 Cox Rd, Gastonia, NC 28054 Phone: 704-898-8014 Fax: 704-898-8018 | |
Dr. Daniel Thomas Ness, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 959 Cox Rd, Gastonia, NC 28054 Phone: 704-866-7576 Fax: 704-866-0106 | |
Dr. Parag Butala, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 937 Cox Rd, Gastonia, NC 28054 Phone: 704-898-8014 Fax: 704-898-8018 | |
Dr. Benson Ellison Lane Timmons Iv, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 649 N New Hope Rd, Gastonia, NC 28054 Phone: 704-866-4005 Fax: 704-866-0450 |