| Jonathan Torres, | |
|
557 Brookdale Dr, Statesville, NC 28677-4107 | |
| (704) 437-0429 | |
| Not Available |
| Full Name | Jonathan Torres |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 557 Brookdale Dr, Statesville, 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 |
|---|---|---|---|
| 1982090957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2021-03229 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iredell Memorial Hospital Inc | Statesville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest Emergency Providers | 7012819816 | 487 |
| Entity Name | Wake Forest Emergency Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Torres, 557 Brookdale Dr, Statesville, NC 28677-4107 Ph: () - | Jonathan Torres, 557 Brookdale Dr, Statesville, NC 28677-4107 Ph: (704) 437-0429 |
Thomas Gansman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 317-502-9920 | |
Darshan Babubhai Patel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 293 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-872-8711 Fax: 704-872-5866 | |
Dr. Randy Scott Carpenter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 330-687-8025 |