| Thaddeus Drexel Houston, MD | |
|
1701 East Blvd, Charlotte, NC 28203-5823 | |
| (704) 334-7800 | |
| (704) 414-7512 |
| Full Name | Thaddeus Drexel Houston |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 1701 East Blvd, 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 |
|---|---|---|---|
| 1003844101 | NPI | - | NPPES |
| 7745055200 | Medicaid | MD | |
| 5914660 | Medicaid | NC | |
| 1570N | Other | NC | BCBS-NC |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| Alamance Regional Medical Center | Burlington, NC | Hospital |
| High Point Regional Health System | High point, NC | Hospital |
| Randolph Hospital | Asheboro, NC | Hospital |
| Unc Rockingham | Eden, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Radiology And Imaging Llc | 4183517097 | 97 |
| Greensboro Radiology Pa | 8729074901 | 207 |
| Wake Forest Health Network Llc | 4183538895 | 270 |
| Entity Name | Wake Forest Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
| Entity Name | Diagnostic Radiology & Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265469795 PECOS PAC ID: 4183517097 Enrollment ID: O20040204001013 |
| Entity Name | Greensboro Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20040422001214 |
| Entity Name | Imrad Of Virginia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457816522 PECOS PAC ID: 2860726981 Enrollment ID: O20200928003184 |
| Mailing Address | Practice Location Address |
|---|---|
| Thaddeus Drexel Houston, MD 1701 East Blvd, Charlotte, NC 28203-5823 Ph: (704) 334-7800 | Thaddeus Drexel Houston, MD 1701 East Blvd, Charlotte, NC 28203-5823 Ph: (704) 334-7800 |
Whitney Feltus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 980-208-1704 Fax: 704-926-1832 | |
Edward Barnwell Black, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1705 East Blvd, Charlotte, NC 28203 Phone: 704-909-5960 Fax: 704-770-0501 | |
Matthew James Locker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 Fax: 704-926-1832 | |
Kelli A. Reardon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Queens Rd, Charlotte, NC 28204 Phone: 434-982-0777 Fax: 434-982-0792 | |
Mr. Andrew Joseph Bojanowski, PA-C Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 | |
Dr. John William Black, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211 Phone: 704-332-1291 Fax: 704-332-5206 |