| J David Deholl Jr, MD | |
|
1216 6th Ave W, Hendersonville, NC 28739-3301 | |
| (828) 692-6262 | |
| (828) 692-5858 |
| Full Name | J David Deholl Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 34 Years |
| Location | 1216 6th Ave W, Hendersonville, 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 |
|---|---|---|---|
| 1700971363 | NPI | - | NPPES |
| 2238261C | Other | NC | MEDICARE PTAN |
| 891049J | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 0101049235 (Virginia) | Secondary |
| 208800000X | Urology | 9700526 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Margaret R Pardee Memorial Hospital | Hendersonville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caldwell Memorial Hospital Inc | 5395646970 | 136 |
| Henderson County Hospital Corporation | 8123938115 | 196 |
| Entity Name | Caldwell Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477839108 PECOS PAC ID: 5395646970 Enrollment ID: O20040116000355 |
| Entity Name | Henderson County Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447444559 PECOS PAC ID: 8123938115 Enrollment ID: O20040611001396 |
| Mailing Address | Practice Location Address |
|---|---|
| J David Deholl Jr, MD Po Box 63314, Charlotte, NC 28263-3314 Ph: (828) 696-1312 | J David Deholl Jr, MD 1216 6th Ave W, Hendersonville, NC 28739-3301 Ph: (828) 692-6262 |
Clifford Paul Johnson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 50 Hospital Dr, Suite 2a, Hendersonville, NC 28792 Phone: 828-654-6015 Fax: 828-687-6058 | |
Ms. Elizabeth Van Huffel Dray, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 50 Hospital Dr Ste 2a, Hendersonville, NC 28792 Phone: 828-654-6015 Fax: 828-687-6058 | |
Gene Austin Taylor Krishingner, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 630 5th Ave W, Hendersonville, NC 28739 Phone: 828-259-2357 | |
Dr. Andrew Howard Krueger, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 50 Hospital Dr, Suite 2a, Hendersonville, NC 28792 Phone: 828-654-6015 Fax: 828-687-6058 | |
Dr. Richard Benjamin Moore Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 22 Delacy Dr, Hendersonville, NC 28739 Phone: 828-697-0754 |