| Jonathan David Kraut, MD | |
|
125 Queens Rd Ste 430, Charlotte, NC 28204-3579 | |
| (980) 302-6700 | |
| (980) 302-6705 |
| Full Name | Jonathan David Kraut |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 27 Years |
| Location | 125 Queens Rd Ste 430, Charlotte, 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 |
|---|---|---|---|
| 1710902937 | NPI | - | NPPES |
| 64130032 | Medicaid | KY | |
| 000000612758 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 201702618 (North Carolina) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2017-02618 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Novant Health Huntersville Medical Center | Huntersville, NC | Hospital |
| Novant Health Matthews Medical Center | Matthews, NC | Hospital |
| Novant Health Mint Hill Medical Center | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Presbyterian Hospital | 1153231907 | 350 |
| 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 | The Presbyterian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan David Kraut, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Jonathan David Kraut, MD 125 Queens Rd Ste 430, Charlotte, NC 28204-3579 Ph: (980) 302-6700 |
Joseph William Cook, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1001 Blythe Blvd Ste 300, Charlotte, NC 28203 Phone: 704-373-0212 Fax: 704-372-1249 | |
Stephen Lee Wallenhaupt, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1718 E 4th St, Suite 701, Charlotte, NC 28204 Phone: 704-316-5100 Fax: 704-316-5101 | |
Remigijus Sipavicius, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Chi 3rd Floor, Charlotte, NC 28203 Phone: 704-355-4714 Fax: 704-355-6227 | |
Mark Reames, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1001 Blythe Blvd, Suite 300 - Cardiac Surgery:, Charlotte, NC 28203 Phone: 704-373-0212 | |
Nikolaos Sachpekidis, M.D., PHD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-4704 Fax: 704-355-8147 | |
Robert Grant Willis, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 334-590-0762 | |
Leon G Alexander, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 17200 Due West Dr, Charlotte, NC 28278 Phone: 704-582-1401 Fax: 704-588-2691 |