| Mark Thomas Edge, PHD MD | |
|
620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 | |
| (704) 867-8021 | |
| (704) 864-4606 |
| Full Name | Mark Thomas Edge |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 620 Summit Crossing Pl, Gastonia, 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 |
|---|---|---|---|
| 1003899766 | NPI | - | NPPES |
| D4988 | Other | MEDCOST | |
| N0089D | Medicaid | SC | |
| 560988142 | Other | UNITED HEALTHCARE | |
| 3616445 | Other | AETNA HMO | |
| 89132UH | Medicaid | NC | |
| 132UH | Other | BLUE CROSS BLUE SHIELD | |
| 7436626 | Other | AETNA PPO | |
| 801319 | Other | PARTNERS | |
| P00167818 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 200200890 (North Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 200200890 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caromont Regional Medical Center | Gastonia, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gaston Radiology Pa | 4082680806 | 26 |
| Entity Name | Gaston Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356324487 PECOS PAC ID: 4082680806 Enrollment ID: O20040902001290 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Thomas Edge, PHD MD 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Ph: (704) 867-8021 | Mark Thomas Edge, PHD MD 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Ph: (704) 867-8021 |
Renee Raimondi Deweese, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Summit Crossing Place, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Christopher Johannus Vandermeer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Dr. Richard S Herring, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054 Phone: 404-712-4686 | |
Heather Ann Pickford, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Christopher William Saltmarsh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Robert William Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 |