| Jason Robert Connelly, MD | |
|
335 School St, Cleveland, NC 27013-9501 | |
| (704) 210-7885 | |
| (704) 210-7898 |
| Full Name | Jason Robert Connelly |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 335 School St, Cleveland, 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 |
|---|---|---|---|
| 1609877620 | NPI | - | NPPES |
| 126RG | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 89126RG | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200000386 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gentiva Health Services | Kernersville, NC | Home health agency |
| Novant Health Rowan Medical Center | Salisbury, 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 | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679528384 PECOS PAC ID: 1153234893 Enrollment ID: O20060828000304 |
| 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 Robert Connelly, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Jason Robert Connelly, MD 335 School St, Cleveland, NC 27013-9501 Ph: (704) 210-7885 |
Judy Debra Bremnor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 Bear Poplar Rd, Cleveland, NC 27013 Phone: 704-326-5250 Fax: 704-326-5248 | |
Angela Marie Massoud Baker, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 335 School St, Cleveland, NC 27013 Phone: 704-210-7885 Fax: 704-210-7898 |