Amit Om, MD | |
1918 Randolph Rd Ste 550, Charlotte, NC 28207-1114 | |
(704) 375-6766 | |
(864) 560-7343 |
Full Name | Amit Om |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 8 Years |
Location | 1918 Randolph Rd Ste 550, 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 |
---|---|---|---|
1336599232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 2022-00012 (North Carolina) | Primary |
207N00000X | Dermatology | 168537 (California) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology Laser And Vein Specialists Of The Carolina's, Pllc | 9830285568 | 9 |
Entity Name | Dermatology Laser And Vein Specialists Of The Carolina's, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083700207 PECOS PAC ID: 9830285568 Enrollment ID: O20071011000104 |
Mailing Address | Practice Location Address |
---|---|
Amit Om, MD 1301 20th St Ste 570, Santa Monica, CA 90404-2118 Ph: (310) 315-0171 | Amit Om, MD 1918 Randolph Rd Ste 550, Charlotte, NC 28207-1114 Ph: (704) 375-6766 |
Dr. Coleman Eric Altman, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2630 E Seventh St, Suite 200, Charlotte, NC 28204 Phone: 704-364-6110 Fax: 704-364-4245 | |
Sam Wu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 309 S Sharon Amity Rd Ste 200, Charlotte, NC 28211 Phone: 704-344-8846 | |
Dr. Deborah Gardner Nixon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8936 Blakeney Professional Dr, Charlotte, NC 28277 Phone: 704-341-0090 Fax: 704-341-0092 | |
Dr. Curtis Wayne Schupbach, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2620 E 7th St, Charlotte, NC 28204 Phone: 704-358-9900 Fax: 704-344-0105 | |
Daren Diiorio, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211 Phone: 704-355-5100 | |
Dr. Marc Alan Darst, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11301 Golf Links Dr N, Suite 203, Charlotte, NC 28277 Phone: 704-321-3376 Fax: 704-541-6558 | |
Jonathan M Olson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15830 Ballantyne Medical Pl, Suite 225, Charlotte, NC 28277 Phone: 704-919-1105 Fax: 704-910-3163 |