| Margaret Bryan Ellis, DO | |
|
1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | |
| (704) 381-8840 | |
| Not Available |
| Full Name | Margaret Bryan Ellis |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1001 Blythe 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 |
|---|---|---|---|
| 1699185520 | NPI | - | NPPES |
| 100422631 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 103838 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | 2017-00851 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 2017-00851 (North Carolina) | Primary |
| Entity Name | Carolinas Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Margaret Bryan Ellis, DO Po Box 19305, Charlotte, NC 28219-9305 Ph: Not Available | Margaret Bryan Ellis, DO 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 Ph: (704) 381-8840 |
Kristina Jasmin Harrell, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422 |
Amanda Marie Sebring, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 |
Pardeep Kesrani, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600 |
Nicole Ludmil Ivanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9908 Couloak Dr, Ste 103, Charlotte, NC 28216 Phone: 704-801-2025 |
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610 |
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905 |
Dr. Shana Dale Wallace, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1900 Randolph Rd, Suite 1010, Charlotte, NC 28207 Phone: 704-384-1390 Fax: 704-384-1063 |