| Joseph C Mazzola, DO | |
|
310 Davie Ave, Statesville, NC 28677-5319 | |
| (704) 873-3269 | |
| (704) 871-8159 |
| Full Name | Joseph C Mazzola |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 310 Davie Ave, Statesville, 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 |
|---|---|---|---|
| 1457368185 | NPI | - | NPPES |
| 5916859 | Medicaid | NC | |
| 00911787E | Medicaid | GA | |
| NC2409A293 | Other | NC | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 049190 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 2010-01894 (North Carolina) | Primary |
| Entity Name | Iredell Memorial Hospital, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548230204 PECOS PAC ID: 0648175927 Enrollment ID: O20040305000537 |
| Entity Name | Iredell Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811381593 PECOS PAC ID: 0749345007 Enrollment ID: O20090219000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph C Mazzola, DO Po Box 896199, Charlotte, NC 28289-6199 Ph: (833) 936-1364 | Joseph C Mazzola, DO 310 Davie Ave, Statesville, NC 28677-5319 Ph: (704) 873-3269 |
Dr. Dhrupa S Changela, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 276 Old Mocksville Rd Ste 400, Statesville, NC 28625 Phone: 704-878-6592 | |
Dr. Brandi Gallaher Kennedy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1446 Fern Creek Dr, Statesville, NC 28625 Phone: 704-873-9617 Fax: 704-761-6985 | |
Daniel Dwight Bellingham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 | |
Dwight Nicolas Bellingham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 | |
Daniela Getuza Isfan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 708 Hartness Rd, Statesville, NC 28677 Phone: 704-923-9423 | |
Todd Clark Sommer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-7461 Fax: 704-838-7467 | |
Teresa Romzick, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2341 Simonton Rd, Statesville, NC 28625 Phone: 704-761-2400 Fax: 704-761-2399 |