Jonathan Aaron Buice, MD | |
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
(704) 381-6806 | |
(704) 381-6841 |
Full Name | Jonathan Aaron Buice |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1000 Blythe Blvd, 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 |
---|---|---|---|
1487945945 | NPI | - | NPPES |
511-49844 | Other | AL | BCBS |
160753 | Medicaid | AL | |
160757 | Medicaid | AL | |
511-49842 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 78615 (Georgia) | Secondary |
208000000X | Pediatrics | 78615 (Georgia) | Primary |
Entity Name | Emergency Coverage Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Aaron Buice, MD Po Box 422002, Atlanta, GA 30342-9002 Ph: (770) 894-7002 | Jonathan Aaron Buice, MD 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 381-6806 |
Kristina Jasmin Harrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422 | |
Amanda Marie Sebring, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 | |
Fnu Pardeep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600 | |
Nicole Ludmil Ivanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9908 Couloak Dr, Ste 103, Charlotte, NC 28216 Phone: 704-801-2025 | |
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610 | |
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905 | |
Dr. Shana Dale Wallace, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Randolph Rd, Suite 1010, Charlotte, NC 28207 Phone: 704-384-1390 Fax: 704-384-1063 |