| Jacob Chachkes, | |
|
500 E Lauchwood Dr, Laurinburg, NC 28352-5501 | |
| (910) 291-7000 | |
| Not Available |
| Full Name | Jacob Chachkes |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 500 E Lauchwood Dr, Laurinburg, 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 |
|---|---|---|---|
| 1083649602 | NPI | - | NPPES |
| 135NO | Other | NC | BCBS PROVIDER NUMBER |
| PENDING | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 200301342 (North Carolina) | Primary |
| Entity Name | Inphynet Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Emergency Specialists Of Wellington Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720038391 PECOS PAC ID: 7416978135 Enrollment ID: O20051209000314 |
| Entity Name | Blue Radiology Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174976468 PECOS PAC ID: 9032407382 Enrollment ID: O20161019001652 |
| Entity Name | Em Alliance Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922788959 PECOS PAC ID: 4789039058 Enrollment ID: O20231006002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Chachkes, Po Box 409540, Atlanta, GA 30384-9540 Ph: () - | Jacob Chachkes, 500 E Lauchwood Dr, Laurinburg, NC 28352-5501 Ph: (910) 291-7000 |
Ronald L. Dupler, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-7444 | |
Joseph Deese, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 E Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-7000 | |
Marlena C White, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-291-7000 |