Mr Shashank Mishra, MD | |
4815 Berewick Town Center Dr Ste C&d, Charlotte, NC 28278-6733 | |
(980) 337-4652 | |
(980) 337-4653 |
Full Name | Mr Shashank Mishra |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 4815 Berewick Town Center Dr Ste C&d, Charlotte, 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 |
---|---|---|---|
1386641728 | NPI | - | NPPES |
1359A | Other | NC | BCBS PROVIDER NUMBER |
891359A | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2003-01021 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ashe Memorial Hospital | Jefferson, NC | Hospital |
Hugh Chatham Memorial Hospital | Elkin, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson Emergency Services Pllc | 4880813047 | 17 |
Yadkin Emergency Physicians Pllc | 3173875127 | 20 |
Entity Name | Columbus Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588813786 PECOS PAC ID: 2961560446 Enrollment ID: O20081028000380 |
Entity Name | Jefferson Emergency Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720495336 PECOS PAC ID: 4880813047 Enrollment ID: O20140919002281 |
Entity Name | Yadkin Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417443771 PECOS PAC ID: 3173875127 Enrollment ID: O20181003000297 |
Mailing Address | Practice Location Address |
---|---|
Mr Shashank Mishra, MD Po Box 601843, Charlotte, NC 28260-1843 Ph: () - | Mr Shashank Mishra, MD 4815 Berewick Town Center Dr Ste C&d, Charlotte, NC 28278-6733 Ph: (980) 337-4652 |
Lillian M. Teigland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210 Phone: 704-384-0588 Fax: 704-384-0580 | |
Felice A James, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991 | |
Heather M. Burney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208 Phone: 704-446-9987 | |
Dr. Jerome Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6111 Rumple Rd, Charlotte, NC 28262 Phone: 704-596-5067 Fax: 704-599-9458 | |
Vishalakshi Kalyana Sundaram, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000 | |
Thamrah Rhoxana Wright, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1918 Randolph Rd Ste 275, Charlotte, NC 28207 Phone: 704-384-1354 | |
Dr. Carlos B Jorge, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 309 S Sharon Amity Rd Ste 206, Charlotte, NC 28211 Phone: 704-360-5018 Fax: 980-273-1102 |