| Jeremy James Macke, MD | |
|
2423 Scots Pine Xing, Durham, NC 27713-6221 | |
| (321) 558-4576 | |
| Not Available |
| Full Name | Jeremy James Macke |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 2423 Scots Pine Xing, Durham, 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 |
|---|---|---|---|
| 1669765095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2015-02046 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Parkview Wabash Hospital, Inc | Wabash, IN | Hospital |
| Parkview Whitley Hospital | Columbia city, IN | Hospital |
| Dekalb Health | Auburn, IN | Hospital |
| Parkview Huntington Hospital | Huntington, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Wayne Radiology Associates Llc | 5294624060 | 33 |
| Fort Wayne Radiology Associates Llc | 5294624060 | 33 |
| Community Hospitals And Wellness Centers | 7517878093 | 28 |
| Entity Name | Fort Wayne Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063475861 PECOS PAC ID: 5294624060 Enrollment ID: O20040329000698 |
| Entity Name | Breast Diagnostic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790748499 PECOS PAC ID: 9335189513 Enrollment ID: O20050506000308 |
| Entity Name | P.e.t. Imaging Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992768691 PECOS PAC ID: 2668412842 Enrollment ID: O20050506000346 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy James Macke, MD 3707 New Vision Dr, Fort Wayne, IN 46845-1702 Ph: (260) 471-9466 | Jeremy James Macke, MD 2423 Scots Pine Xing, Durham, NC 27713-6221 Ph: (321) 558-4576 |
Mary Margaret Woodruff, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-6111 | |
Dr. Roger L Cothran Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 | |
Zachary Angel, Radiology Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Reginald R Pareja, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3022 Croasdaile Dr Ste 101, Durham, NC 27705 Phone: 877-780-5559 | |
Mamata Myneni, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Banner Good Samaritan Medical Center, Durham, NC 27705 Phone: 919-684-8111 | |
Dr. Matthew Jacob Boyer, M.D., PH.D. Radiology Medicare: Medicare Enrolled Practice Location: Durham Vamc Department Of Radiation Oncology, 508 Fulton St, Durham, NC 27705 Phone: 919-286-6996 | |
Hersh Rajesh Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Duke University Medical Center, Durham, NC 27710 Phone: 919-684-2711 |