| Mark S Noble, PA | |
|
3623 Latrobe Dr Ste 216, Charlotte, NC 28211-2117 | |
| (980) 208-1704 | |
| (704) 926-1832 |
| Full Name | Mark S Noble |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 3623 Latrobe Dr Ste 216, 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 |
|---|---|---|---|
| 1043444151 | NPI | - | NPPES |
| Y09JY | Other | FL | BCBS FL |
| P01000790 | Other | FL | RAILROAD MEDICARE |
| P01028069 | Other | FL | RAILROAD MEDICARE |
| 001424100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-07847 (North Carolina) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 0010-07847 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Huntersville Medical Center | Huntersville, NC | Hospital |
| Novant Health Rowan Medical Center | Salisbury, NC | Hospital |
| Novant Health Mint Hill Medical Center | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mecklenburg Radiology Associates Pa | 6800789587 | 95 |
| Entity Name | Mecklenburg Radiology Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295790657 PECOS PAC ID: 6800789587 Enrollment ID: O20040205001004 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Noble, PA Po Box 221249, Charlotte, NC 28222-1249 Ph: (704) 332-1291 | Mark S Noble, PA 3623 Latrobe Dr Ste 216, Charlotte, NC 28211-2117 Ph: (980) 208-1704 |
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 |