| Siddarth Thakur, MD | |
|
487 Lake Concord Rd Ne, Concord, NC 28025-2934 | |
| (704) 403-0300 | |
| Not Available |
| Full Name | Siddarth Thakur |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 13 Years |
| Location | 487 Lake Concord Rd Ne, Concord, 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 |
|---|---|---|---|
| 1588921365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 2018-01562 (North Carolina) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 2018-01562 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Carolinas Medical Center-northeast | Concord, NC | Hospital |
| Stanly Regional Medical Center | Albemarle, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolinas Physicians Network Inc. | 3375449655 | 2100 |
| Carolinas Medical Center | 4789597477 | 817 |
| Proactive Therapy Of North Carolina Inc | 6305753120 | 153 |
| Entity Name | Carolinas Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
| Mailing Address | Practice Location Address |
|---|---|
| Siddarth Thakur, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Siddarth Thakur, MD 487 Lake Concord Rd Ne, Concord, NC 28025-2934 Ph: (704) 403-0300 |
Meredith Farley, LAT, ATC, SCAT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5130 Nw Cabarrus Dr, Concord, NC 28027 Phone: 704-223-0064 | |
Dr. Michael John Meighen, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 695 Harrison Dr Nw, Concord, NC 28027 Phone: 704-785-1301 | |
Dr. Hayley Mccurdy, PT, DPT, CSCS Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1446 Riding Trail Ln, Concord, NC 28027 Phone: 704-918-5418 | |
Richard Tae Bach, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 487 Lake Concord Rd Ne, Concord, NC 28025 Phone: 704-403-0300 | |
Michael John O'connell, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 354 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-786-5122 | |
Julian David Willoughby, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 110 Lake Concord Rd Ne, Concord, NC 28025 Phone: 704-792-2672 Fax: 704-792-2674 | |
Michael A Worobel, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 110 Lake Concord Rd Ne, Concord, NC 28025 Phone: 704-792-2672 |