| Manuel F Maldonado, PA | |
|
445 S Kings Dr, Charlotte, NC 28204-3041 | |
| (980) 308-0141 | |
| (980) 308-0140 |
| Full Name | Manuel F Maldonado |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 445 S Kings Dr, Charlotte, 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 |
|---|---|---|---|
| 1144274960 | NPI | - | NPPES |
| 8101503 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 103143 (North Carolina) | Primary |
| Entity Name | Carolina Medicorp Enterprises LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760950646 PECOS PAC ID: 0648174904 Enrollment ID: O20040110000190 |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel F Maldonado, PA Po Box 601843, Charlotte, NC 28260-1843 Ph: Not Available | Manuel F Maldonado, PA 445 S Kings Dr, Charlotte, NC 28204-3041 Ph: (980) 308-0141 |
Olga Maria Kramer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3101 Latrobe Dr, Charlotte, NC 28211 Phone: 704-376-7362 Fax: 704-376-1939 |
Mrs. Christine Mccree Patrocinio Massinga, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3250 Wilkinson Blvd, Charlotte, NC 28208 Phone: 704-319-5176 Fax: 980-819-7900 |
Emil Peter Occhiboi, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4741 Randolph Rd Ste 100&200, Charlotte, NC 28211 Phone: 704-365-6730 |
Shelda Amilcka, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-384-6225 Fax: 704-316-3825 |
Ms. Mariah Leigh Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11840 Southmore Dr Ste 100, Charlotte, NC 28277 Phone: 980-308-0169 Fax: 980-308-0173 |
Katherine Michelle Mattingly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8201 Healthcare Loop Ste 305, Charlotte, NC 28215 Phone: 980-302-3050 Fax: 980-302-3055 |
Lauren Michelle Ramsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 4300, Charlotte, NC 28204 Phone: 704-373-0212 |