| Mark Philip Cheltenham, MD | |
|
628 Doddington Dr, Rolesville, NC 27571-9700 | |
| (919) 761-8693 | |
| Not Available |
| Full Name | Mark Philip Cheltenham |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 24 Years |
| Location | 628 Doddington Dr, Rolesville, 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 |
|---|---|---|---|
| 1114027588 | NPI | - | NPPES |
| 58606 | Other | BOARD CERTIFICATION ABPN | |
| 5911546 | Medicaid | NC | |
| 2007-00205 | Other | NC | STATE LICENSE |
| MD425741 | Other | PA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2007-00205 (North Carolina) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD425741 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Garner Behavioral Hospital Llc | 4981072238 | 8 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Holly Hill Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518037233 PECOS PAC ID: 7810806650 Enrollment ID: O20070831000699 |
| Entity Name | Nhcs Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801252275 PECOS PAC ID: 7719209154 Enrollment ID: O20141215000093 |
| Entity Name | Triangle Springs Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063901312 PECOS PAC ID: 7214283266 Enrollment ID: O20180703003145 |
| Entity Name | Garner Behavioral Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548049679 PECOS PAC ID: 4981072238 Enrollment ID: O20231107001800 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Philip Cheltenham, MD 628 Doddington Dr, Rolesville, NC 27571-9700 Ph: (919) 761-8693 | Mark Philip Cheltenham, MD 628 Doddington Dr, Rolesville, NC 27571-9700 Ph: (919) 761-8693 |