| Joseph S Wolyniak, DO | |
|
7004 Smith Corners Blvd, Suite A, Charlotte, NC 28269-3793 | |
| (704) 688-9650 | |
| (704) 688-9651 |
| Full Name | Joseph S Wolyniak |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 7004 Smith Corners 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 |
|---|---|---|---|
| 1053390856 | NPI | - | NPPES |
| 8989001 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 9600781 (North Carolina) | Secondary |
| 208D00000X | General Practice | 9600781 (North Carolina) | Primary |
| Entity Name | Promed Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770615114 PECOS PAC ID: 0749366607 Enrollment ID: O20080318000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph S Wolyniak, DO 7004 Smith Corners Blvd, Suite A, Charlotte, NC 28269-3793 Ph: (704) 688-9650 | Joseph S Wolyniak, DO 7004 Smith Corners Blvd, Suite A, Charlotte, NC 28269-3793 Ph: (704) 688-9650 |
Steven Andrew Stallard, General Practice Medicare: Accepting Medicare Assignments Practice Location: 8401 Medical Plaza Dr Ste 250, Charlotte, NC 28262 Phone: 704-384-1500 Fax: 704-384-1525 | |
David A. Cosenza, MD General Practice Medicare: Medicare Enrolled Practice Location: 10620 Park Rd, Ste 202, Charlotte, NC 28210 Phone: 704-667-0920 | |
Andrea Mary Desantis, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991 | |
James Philip Griggs Jr., MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 12016 Lemmond Farm Dr, Ste 100, Charlotte, NC 28227 Phone: 704-863-9615 | |
Nosheen Arif Qureshi, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991 | |
Dr. Joseph David Spataro, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6101 Idlewild Rd, Suite 300, Charlotte, NC 28212 Phone: 704-531-0990 Fax: 704-531-0464 | |
Thomas Joseph Koewler, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277 Phone: 704-667-2650 |