| John W Difiore, MD | |
|
1025 Morehead Medical Dr, Suite 275, Charlotte, NC 28204-2963 | |
| (704) 403-2662 | |
| (704) 403-2670 |
| Full Name | John W Difiore |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 1025 Morehead Medical Dr, Charlotte, 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 |
|---|---|---|---|
| 1700840469 | NPI | - | NPPES |
| 1700840469 | Medicaid | NC | |
| 2082370 | Medicaid | OH | |
| NC2063 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 35075425D (Ohio) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | 2014-00192 (North Carolina) | Primary |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Mailing Address | Practice Location Address |
|---|---|
| John W Difiore, MD Po Box 601888, Charlotte, NC 28260-1888 Ph: (704) 403-2662 | John W Difiore, MD 1025 Morehead Medical Dr, Suite 275, Charlotte, NC 28204-2963 Ph: (704) 403-2662 |
Dr. Tuan Hoai Pham, M.D., PHD Surgery Medicare: May Accept Medicare Assignments Practice Location: 1718 E 4th St Ste 807, Charlotte, NC 28204 Phone: 980-488-9630 Fax: 980-488-9635 | |
Dr. John Gordon Morrison, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2015 Randolph Rd, Suite 201, Charlotte, NC 28207 Phone: 704-333-1259 Fax: 704-333-0371 | |
Michael Passeri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204 Phone: 704-355-8816 | |
Jeko Metodiev Madjarov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212 | |
Dr. Mark Aaron Kuzich, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 1918 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356 | |
Benjamin Yglesias, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Jason Shade Burgess, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1918 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356 |