| Pedro Cervantes Fanning, MD | |
|
13532 Steelecroft Parkway, Charlotte, NC 28278-7545 | |
| (704) 295-3475 | |
| (704) 295-3476 |
| Full Name | Pedro Cervantes Fanning |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 25 Years |
| Location | 13532 Steelecroft Parkway, 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 |
|---|---|---|---|
| 1760633812 | NPI | - | NPPES |
| P01840923 | Other | NC | RAILROAD MEDICARE |
| 7151944 | Other | CIGNA | |
| NC2885 | Medicaid | SC | |
| 9973753 | Other | AETNA | |
| 19N11 | Other | NC | BCBSNC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 2016-01762 (North Carolina) | Primary |
| 207W00000X | Ophthalmology | 036129100 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charlotte Eye Ear Nose And Throat Associates Pa | 0446155451 | 147 |
| Charlotte Eye Ear Nose And Throat Associates Pa | 0446155451 | 147 |
| Entity Name | Charlotte Eye Ear Nose & Throat Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043287469 PECOS PAC ID: 0446155451 Enrollment ID: O20031203000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Pedro Cervantes Fanning, MD 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3000 | Pedro Cervantes Fanning, MD 13532 Steelecroft Parkway, Charlotte, NC 28278-7545 Ph: (704) 295-3475 |
Ernest M. Bhend, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6035 Fairview Rd, Charlotte, NC 28210 Phone: 704-295-3000 Fax: 704-295-3121 | |
Dr. James Wesley Heroman, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 497 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-5424 Fax: 704-376-5354 | |
Dr. Benjamin Charles Kramer, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 135 S Sharon Amity Rd Ste 100, Charlotte, NC 28211 Phone: 704-365-0555 Fax: 704-367-8120 | |
Jeffrey Ryan Stetler, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6035 Fairview Rd, Charlotte, NC 28210 Phone: 704-295-3000 Fax: 704-295-3468 | |
Dr. Samuel Santander, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3621 Randolph Road, Suite 100, Charlotte, NC 28211 Phone: 704-332-9365 Fax: 704-364-7384 | |
Dr. Judy Diane Hustead, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 135 S Sharon Amity Rd, Suite 100, Charlotte, NC 28211 Phone: 704-365-0555 Fax: 704-367-8124 | |
Royce Rosario Syracuse, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 135 S Sharon Amity Rd, Suite 100, Charlotte, NC 28211 Phone: 704-365-0555 Fax: 704-367-8122 |