| Jorge Polanco, MD | |
|
262 Leroy George Dr, Clyde, NC 28721-7430 | |
| (843) 237-3378 | |
| (843) 237-5073 |
| Full Name | Jorge Polanco |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 262 Leroy George Dr, Clyde, 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 |
|---|---|---|---|
| 1346211455 | NPI | - | NPPES |
| 891323K | Medicaid | NC | |
| 1323K | Other | NC | BCBS |
| P00201238 | Other | NC | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200201300 (North Carolina) | Primary |
| Entity Name | Cogent Healthcare Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548207483 PECOS PAC ID: 7911954714 Enrollment ID: O20050404001057 |
| Entity Name | Hospitalist Medicine Physicians Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164724902 PECOS PAC ID: 0143409185 Enrollment ID: O20110124000754 |
| Entity Name | Hospitalist Medicine Physicians Of North Carolina-tcg Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558840009 PECOS PAC ID: 2264860931 Enrollment ID: O20200311000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Polanco, MD Po Box 60274, Charlotte, NC 28260-0274 Ph: (843) 237-3378 | Jorge Polanco, MD 262 Leroy George Dr, Clyde, NC 28721-7430 Ph: (843) 237-3378 |
Barton R. Paschal, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 600 Hospital Dr, Suite 10b, Clyde, NC 28721 Phone: 828-456-5214 Fax: 828-456-7834 | |
John Anthony Lafata, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Hospital Dr, Suite 9, Clyde, NC 28721 Phone: 828-452-0331 Fax: 828-456-8726 | |
Dr. Steven Snowden Crider, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Hospital Dr, Suite 9, Clyde, NC 28721 Phone: 828-452-0331 Fax: 828-456-6100 | |
Maria Garcia Moore, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 600 Hospital Dr Ste 10b, Clyde, NC 28721 Phone: 828-456-5214 Fax: 828-456-7834 | |
Paul Fredric Levy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Hospital Dr, Suite 9, Clyde, NC 28721 Phone: 828-452-0331 Fax: 828-456-6100 | |
Dr. Filiberto Colon Ii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Hospital Dr, Suite 9, Clyde, NC 28721 Phone: 828-452-0331 Fax: 828-456-6100 |