| Jason Adrian Boothe, MD | |
|
6324 Fairview Rd Ste 201, Charlotte, NC 28210-4278 | |
| (704) 384-0588 | |
| Not Available |
| Full Name | Jason Adrian Boothe |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 6324 Fairview Rd Ste 201, Charlotte, 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 |
|---|---|---|---|
| 1093151086 | NPI | - | NPPES |
| 193050 | Other | NC | RTL RESIDENT TRAINING LICENSE NUMBER |
| 2016-00166 | Other | NC | NORTH CAROLINA MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2016-00166 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Novant Health Matthews Medical Center | Matthews, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Carolina Medicorp Enterprises Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760950646 PECOS PAC ID: 0648174904 Enrollment ID: O20040110000190 |
| Entity Name | Nh Digital Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427683044 PECOS PAC ID: 9537588934 Enrollment ID: O20201005002074 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Adrian Boothe, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-0588 | Jason Adrian Boothe, MD 6324 Fairview Rd Ste 201, Charlotte, NC 28210-4278 Ph: (704) 384-0588 |
Leslie Kay Ruffing Adcock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000 | |
Dr. David Lee Wright, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 224 Parkwood Ave, Charlotte, NC 28206 Phone: 704-669-8031 | |
Alecia Marie Wilson, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10216 Perimeter Pkwy Ste C, Charlotte, NC 28216 Phone: 980-202-6526 | |
Lillian M. Teigland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210 Phone: 704-384-0588 Fax: 704-384-0580 | |
Felice A James, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991 | |
Heather M. Burney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208 Phone: 704-446-9987 | |
Dr. Jerome Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6111 Rumple Rd, Charlotte, NC 28262 Phone: 704-596-5067 Fax: 704-599-9458 |