| Joshua A Dettinger, MD | |
|
401 W Decatur St, Madison, NC 27025-1913 | |
| (336) 548-9618 | |
| Not Available |
| Full Name | Joshua A Dettinger |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 401 W Decatur St, Madison, 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 |
|---|---|---|---|
| 1184062085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11017295A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 2016-01475 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moses Cone Medical Services Inc | 2769395458 | 201 |
| Entity Name | Moses Cone Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427095249 PECOS PAC ID: 2769395458 Enrollment ID: O20060609000162 |
| Entity Name | Moses Cone Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua A Dettinger, MD 401 W Decatur St, Madison, NC 27025-1913 Ph: (336) 548-9618 | Joshua A Dettinger, MD 401 W Decatur St, Madison, NC 27025-1913 Ph: (336) 548-9618 |
Dr. Leonard Robert Nyland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 723 Ayersville Rd, Madison, NC 27025 Phone: 336-427-0281 | |
Dr. Donald Wilson Moore, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 W Decatur St, Madison, NC 27025 Phone: 336-548-9618 Fax: 336-548-4877 |