| Richard Thomas Wynn, MD | |
|
16147 Lancaster Hwy, Suite 140, Charlotte, NC 28277-4782 | |
| (704) 208-4134 | |
| (704) 248-7845 |
| Full Name | Richard Thomas Wynn |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 16147 Lancaster Hwy, Charlotte, North Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356365480 | NPI | - | NPPES |
| 89592 | Other | NC | BSBC |
| 1356365480 | Medicaid | NC | |
| 8989592 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9500282 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amity Medical Group Inc | 7618205980 | 6 |
| Entity Name | Amity Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003301300 PECOS PAC ID: 7618205980 Enrollment ID: O20190823002238 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Thomas Wynn, MD 16147 Lancaster Hwy, Ste 140, Charlotte, NC 28277-4782 Ph: (704) 208-4134 | Richard Thomas Wynn, MD 16147 Lancaster Hwy, Suite 140, Charlotte, NC 28277-4782 Ph: (704) 208-4134 |
Leslie Kay Ruffing Adcock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000 | |
Dr. David Lee Wright, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 224 Parkwood Ave, Charlotte, NC 28206 Phone: 704-669-8031 | |
Alecia Marie Wilson, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10216 Perimeter Pkwy Ste C, Charlotte, NC 28216 Phone: 980-202-6526 | |
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 |