| Jerald Albert Delagarza, MD | |
|
288 S Ridgecrest Ave, Suite 100, Rutherfordton, NC 28139-2838 | |
| (828) 287-9325 | |
| (828) 287-9709 |
| Full Name | Jerald Albert Delagarza |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 288 S Ridgecrest Ave, Rutherfordton, 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 |
|---|---|---|---|
| 1962411892 | NPI | - | NPPES |
| 891323H | Medicaid | NC | |
| 1323H | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 200200513 (North Carolina) | Primary |
| Entity Name | Mission Health Community Multispecialty Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
| Entity Name | Mh Blue Ridge Medical Center, Lllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720556269 PECOS PAC ID: 2769715671 Enrollment ID: O20191115001609 |
| Entity Name | Mh Mission Hospital Mcdowell, Lllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225513948 PECOS PAC ID: 0345581856 Enrollment ID: O20191119001720 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerald Albert Delagarza, MD 288 S Ridgecrest Ave, Suite 100, Rutherfordton, NC 28139-2838 Ph: (828) 287-9325 | Jerald Albert Delagarza, MD 288 S Ridgecrest Ave, Suite 100, Rutherfordton, NC 28139-2838 Ph: (828) 287-9325 |
Anita Hill Powell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 141 Tryon Rd, Ste A, Rutherfordton, NC 28139 Phone: 828-286-9049 | |
Cassandra Marie Graeff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 141 Tryon Rd, Ste A, Rutherfordton, NC 28139 Phone: 828-286-9049 | |
Gregory Blake Goode, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 141 Tryon Rd, Ste A, Rutherfordton, NC 28139 Phone: 828-286-9049 | |
Willis Arthur Archer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 141 Tryon Road, Suite A, Rutherfordton, NC 28139 Phone: 828-286-9049 Fax: 828-286-5596 |