| Scott M Klenzak, MD | |
|
250 N Bennett St, Suite B, Southern Pines, NC 28387-4811 | |
| (910) 585-2203 | |
| (910) 692-3913 |
| Full Name | Scott M Klenzak |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 30 Years |
| Location | 250 N Bennett St, Southern Pines, 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 |
|---|---|---|---|
| 1487696936 | NPI | - | NPPES |
| 5902661 | Medicaid | NC |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cape Fear Valley Health Medical Group Llc | 0648707109 | 352 |
| Cumberland County Hospital System Inc | 1850204041 | 581 |
| Entity Name | Cumberland County Hospital System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Entity Name | Cape Fear Valley Health Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235957655 PECOS PAC ID: 0648707109 Enrollment ID: O20241220003892 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott M Klenzak, MD 154 Linden Pines Pl, Aberdeen, NC 28315-5626 Ph: (910) 585-2203 | Scott M Klenzak, MD 250 N Bennett St, Suite B, Southern Pines, NC 28387-4811 Ph: (910) 585-2203 |
Rodolfo De Lossantos Ongjoco Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 180 Perry Dr, Southern Pines, NC 28387 Phone: 910-246-0567 Fax: 910-246-0669 |
Dr. Gwendolyn Rose Jones, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 195 W Illinois Ave, Southern Pines, NC 28387 Phone: 910-692-2444 |
Nicole Jacobs, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 195 West Illinois Avenue, Attn: April Smith, Southern Pines, NC 28387 Phone: 910-692-2444 Fax: 910-692-3031 |