| Mr Michael Coleman Scruggs, MD | |
|
288 S Ridgecrest Ave, Rutherfordton, NC 28139 | |
| (828) 286-5335 | |
| (828) 286-5231 |
| Full Name | Mr Michael Coleman Scruggs |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 55 Years |
| Location | 288 S Ridgecrest Ave, Rutherfordton, 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 |
|---|---|---|---|
| 1871573394 | NPI | - | NPPES |
| 7975083 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 20202 (North Carolina) | Primary |
| 207Y00000X | Otolaryngology | 20202 (North Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Imaging Center Inc | 2163568668 | 4 |
| Entity Name | Coastal Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144270307 PECOS PAC ID: 8224002696 Enrollment ID: O20040823000112 |
| Entity Name | Providence Imaging Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518071315 PECOS PAC ID: 2163568668 Enrollment ID: O20091014000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Coleman Scruggs, MD Po Box 886, 131 W 2nd St, Rutherfordton, NC 28139 Ph: (828) 287-2984 | Mr Michael Coleman Scruggs, MD 288 S Ridgecrest Ave, Rutherfordton, NC 28139 Ph: (828) 286-5335 |
Luther Person, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 288 S Ridgecrest Ave, Rutherfordton, NC 28139 Phone: 828-395-1814 | |
Donald Tice Lesher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 131 West 2nd St, Rutherfordton, NC 28139 Phone: 828-287-2984 Fax: 828-287-3582 | |
Mr. Edward Kenneth Grishaw, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 288 S Ridgecrest Ave, Rutherfordton, NC 28139 Phone: 828-286-5335 Fax: 828-286-5231 | |
Franklin James Mooring, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 288 South Ridgecrest, Rutherfordton, NC 28139 Phone: 828-286-5246 Fax: 828-286-5231 |