Dr Carol V Petillo, PHD | |
6035 Fairview Rd, Charlotte, NC 28210-3256 | |
(704) 295-3300 | |
(704) 295-3468 |
Full Name | Dr Carol V Petillo |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 18 Years |
Location | 6035 Fairview Rd, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063684215 | NPI | - | NPPES |
1618R | Other | NC | BCBSNC |
5939044 | Other | NC | CIGNA |
7413356 | Medicaid | NC | |
770333 | Other | WELLCARE | |
P01044436 | Other | SC | RAILROAD MEDICARE |
9873230 | Other | NC | AETNA |
P01450607 | Other | NC | RAILROAD MEDICARE |
30111366 | Other | SC | SELECT HEALTH OF SOUTH CAROLINA |
SA1085 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 7312 (North Carolina) | Primary |
231H00000X | Audiologist | 3886 (South Carolina) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greer Audiology Llc | 2163593427 | 5 |
Provider Name | Greer Audiology Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306015094 PECOS PAC ID: 2163593427 Enrollment ID: O20080616000026 |
Mailing Address | Practice Location Address |
---|---|
Dr Carol V Petillo, PHD 1330 Boiling Springs Rd, Ste 1400, Spartanburg, SC 29303-4205 Ph: (864) 278-1273 | Dr Carol V Petillo, PHD 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3300 |
Brianna L Murphy, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 6035 Fairview Rd, Charlotte, NC 28210 Phone: 704-295-3000 | |
Cari L Olsen, AUDIOLOGIST Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6035 Fairview Rd, Charlotte, NC 28210 Phone: 704-295-3000 Fax: 704-295-3326 | |
Dr. Kristin Doll Bray, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 6035 Fairview Rd, Charlotte, NC 28210 Phone: 042-953-0007 Fax: 704-295-3468 | |
Alyse Natalie Stempel, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 8924 Blakeney Professional Dr, Charlotte, NC 28277 Phone: 704-703-1080 Fax: 704-703-1090 | |
Cari Ann El Sheshai, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 125 Baldwin Ave Ste 100, Charlotte, NC 28204 Phone: 704-316-1900 | |
Shannon Lynn Macdonald, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 8924 Blakeney Professional Dr, Charlotte, NC 28277 Phone: 704-703-1080 Fax: 704-703-1090 |