| Select Health Pain And Regenerative Medicine Pc | |
|
15720 Brixham Hill Ave Ste 130 Charlotte NC 28277-4784 | |
| (704) 541-5555 | |
| Not Available |
| Full Name | Select Health Pain And Regenerative Medicine Pc |
|---|---|
| Speciality | General Practice |
| Location | 15720 Brixham Hill Ave Ste 130, Charlotte, North Carolina |
| Authorized Official Name and Position | Eric Shapiro (PRESIDENT) |
| Authorized Official Contact | 7047632151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Health Pain And Regenerative Medicine Pc 15720 Brixham Hill Ave Ste 130 Charlotte NC 28277-4784 Ph: (704) 541-5555 | Select Health Pain And Regenerative Medicine Pc 15720 Brixham Hill Ave Ste 130 Charlotte NC 28277-4784 Ph: (704) 541-5555 |
| NPI Number | 1124636667 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 07/21/2020 |
| Medicare PECOS PAC ID | 0143648477 |
|---|---|
| Medicare Enrollment ID | O20200917001941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124636667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Joe Douglas Haines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275504938 PECOS PAC ID: 0143480392 Enrollment ID: I20120326000168 |
| Provider Name | Jessica R Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730797978 PECOS PAC ID: 6406274745 Enrollment ID: I20200917002507 |
| Provider Name | Danielle Marie Crum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457941007 PECOS PAC ID: 5294149217 Enrollment ID: I20210202001571 |
| Provider Name | Rachel Olivia Taylor Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770195216 PECOS PAC ID: 5890100648 Enrollment ID: I20210209001834 |
| Provider Name | Amanda L Mattox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831768159 PECOS PAC ID: 1658776208 Enrollment ID: I20210820000893 |
| Provider Name | Chevon Pegues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760850382 PECOS PAC ID: 1153751227 Enrollment ID: I20211214001195 |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Clarity Health Dpc, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Springbank Ln Ste B, Charlotte, NC 28226 Phone: 704-709-3351 Fax: 704-991-7799 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 |