| Mr Jayendrakumar I Patel, MD | |
|
722 Malcolm Blvd, Connelly Springs, NC 28612 | |
| (828) 580-7655 | |
| (828) 874-2278 |
| Full Name | Mr Jayendrakumar I Patel |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 722 Malcolm Blvd, Connelly Springs, 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 |
|---|---|---|---|
| 1477641462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 23417 (North Carolina) | Primary |
| Entity Name | Blue Ridge Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467993931 PECOS PAC ID: 9436159712 Enrollment ID: O20070110000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jayendrakumar I Patel, MD 722 Malcolm Blvd., Connelly Springs, NC 28612 Ph: (828) 580-7655 | Mr Jayendrakumar I Patel, MD 722 Malcolm Blvd, Connelly Springs, NC 28612 Ph: (828) 580-7655 |
Dr. Quincy Justin Greene, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 730 Malcolm Blvd Ste 100, Connelly Springs, NC 28612 Phone: 828-580-2250 Fax: 828-580-2252 | |
Danielle Marie Fontaine, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 730 Malcolm Blvd, Connelly Springs, NC 28612 Phone: 828-580-3572 | |
Dr. Alan Fowler Jacks, M. D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 845 Malcolm Blvd., Connelly Springs, NC 28612 Phone: 828-580-3555 Fax: 828-874-2111 |