| Chelsea Jillian Bontkowski, PA-C | |
|
2525 Court Dr, Gastonia, NC 28054-2140 | |
| (704) 834-2000 | |
| (704) 834-2500 |
| Full Name | Chelsea Jillian Bontkowski |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2525 Court Dr, Gastonia, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720591258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-07707 (North Carolina) | Primary |
| Entity Name | Caromont Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Chelsea Jillian Bontkowski, PA-C Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 834-2450 | Chelsea Jillian Bontkowski, PA-C 2525 Court Dr, Gastonia, NC 28054-2140 Ph: (704) 834-2000 |
Taneisha L Barnett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2664 Court Dr, Gastonia, NC 28054 Phone: 704-861-9030 Fax: 704-833-1234 |
Lisa Camille Pruitt Richards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste A, Gastonia, NC 28054 Phone: 704-671-6400 Fax: 704-671-6449 |
Mr. Timothy Allen Boyd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 870 Summit Crossing Pl, Gastonia, NC 28054 Phone: 704-867-2333 |
Mr. Michael Harrison Long, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 870 Summit Crossing Pl, Gastonia, NC 28054 Phone: 704-323-2000 |
Tatjana Misunina, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr Ste 200, Gastonia, NC 28054 Phone: 410-245-5367 |
Cassandra Dawn Eichler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2391 Court Dr Ste 105, Gastonia, NC 28054 Phone: 704-671-7390 Fax: 704-671-7396 |
Carlos Saul Anzola, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2555 Court Dr Ste 200, Gastonia, NC 28054 Phone: 704-867-2141 Fax: 704-867-2308 |