| Takashi Hirata, MD | |
|
121 Medical Dr, Advance, NC 27006-6651 | |
| (336) 998-9060 | |
| (336) 998-9061 |
| Full Name | Takashi Hirata |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 121 Medical Dr, Advance, 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 |
|---|---|---|---|
| 1629110036 | NPI | - | NPPES |
| P00456679 | Other | NC | RAILROAD MEDICARE |
| 5907256 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2006-00718 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Well Care Home Health Inc | Mocksville, NC | Home health agency |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Takashi Hirata, MD Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 998-9060 | Takashi Hirata, MD 121 Medical Dr, Advance, NC 27006-6651 Ph: (336) 998-9060 |
Dr. Franklin Lee Tolbert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Peachtree Ln, Advance, NC 27006 Phone: 336-716-2255 | |
Richard Cornwall, PA C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 235 Shallowbrook Dr, Advance, NC 27006 Phone: 336-816-6800 Fax: 336-816-6800 |