| Tod Randall Ward, PA-C | |
|
1977 Cotton Grove Rd, Lexington, NC 27292-5721 | |
| (336) 443-6041 | |
| (336) 443-6042 |
| Full Name | Tod Randall Ward |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 1977 Cotton Grove Rd, Lexington, 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 |
|---|---|---|---|
| 1922054261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 103942 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 103942 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Medicorp Enterprises Llc | 0648174904 | 184 |
| 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 |
| Entity Name | NC Emergency Physician Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518374800 PECOS PAC ID: 5890916514 Enrollment ID: O20141022001802 |
| Entity Name | Cdt Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700397304 PECOS PAC ID: 2365701596 Enrollment ID: O20180117000292 |
| Entity Name | Brunswick Physician Partners PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457822264 PECOS PAC ID: 2062752470 Enrollment ID: O20190321002645 |
| Entity Name | Piedmont Triad Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295206464 PECOS PAC ID: 6406197334 Enrollment ID: O20190403000344 |
| Entity Name | Kernersville Emergency Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750852034 PECOS PAC ID: 3375885429 Enrollment ID: O20190422001205 |
| Entity Name | Tanglewood Park Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093286379 PECOS PAC ID: 3476895129 Enrollment ID: O20190429001041 |
| Mailing Address | Practice Location Address |
|---|---|
| Tod Randall Ward, PA-C Po Box 601843, Charlotte, NC 28260-1843 Ph: Not Available | Tod Randall Ward, PA-C 1977 Cotton Grove Rd, Lexington, NC 27292-5721 Ph: (336) 443-6041 |
Mallory Alexa Choplin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 W Medical Park Dr, Lexington, NC 27292 Phone: 336-249-4911 |
Kaitlin Frankie Hoover Williamson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 W Medical Park Dr, Lexington, NC 27292 Phone: 336-248-8692 Fax: 336-249-7348 |
Mary Emerson Hayes, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 915 N Greensboro St, Lexington, NC 27292 Phone: 336-242-2300 |
Kaitlin Samantha Jenkins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Dr, Lexington, NC 27292 Phone: 336-248-5161 Fax: 336-716-5438 |
Jason S. Romblad, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Emergency Dr, Lexington, NC 27292 Phone: 336-249-2978 Fax: 336-249-6748 |
Brianne Elizabeth Eva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Dr, Lexington, NC 27292 Phone: 336-248-5161 |
Matthew David Bryant, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 104 W Medical Park Dr, Lexington, NC 27292 Phone: 336-224-0931 Fax: 336-224-0932 |