David Garth Ellertson Jr, MD | |
2555 Court Dr Ste 450, Gastonia, NC 28054-2191 | |
(704) 671-7652 | |
(704) 671-7656 |
Full Name | David Garth Ellertson Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 26 Years |
Location | 2555 Court Dr Ste 450, Gastonia, 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 |
---|---|---|---|
1588657258 | NPI | - | NPPES |
1588657258 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2005-01291 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caromont Regional Medical Center | Gastonia, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Caromont Medical Group Inc | 3577476258 | 347 |
Entity Name | Caromont Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
Mailing Address | Practice Location Address |
---|---|
David Garth Ellertson Jr, MD Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 834-2450 | David Garth Ellertson Jr, MD 2555 Court Dr Ste 450, Gastonia, NC 28054-2191 Ph: (704) 671-7652 |
Kim Leigh Crosby, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2391 Court Dr, Ste 110, Gastonia, NC 28054 Phone: 704-853-3330 Fax: 704-853-8951 | |
Dr. Mark Aaron Kuzich, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2555 Court Dr Ste 450, Gastonia, NC 28054 Phone: 704-671-7652 Fax: 704-671-7656 | |
Dr. Daniel L Mcclellan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2544 Court Dr, Suite G, Gastonia, NC 28054 Phone: 704-864-7821 Fax: 704-865-0519 | |
Dr. Demar Austin Neal, M.D., F.A.C.S. Surgery Medicare: Medicare Enrolled Practice Location: 2555 Court Dr, Suite 450, Gastonia, NC 28054 Phone: 704-671-7652 Fax: 704-671-7656 | |
Dr. Steven David Thies, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2555 Court Dr Ste 450, Gastonia, NC 28054 Phone: 704-671-7652 Fax: 704-671-7656 | |
Dr. Eric Tomson Emerson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 649 N New Hope Rd, Gastonia, NC 28054 Phone: 704-866-4005 Fax: 704-866-0450 | |
Anthony Edward Raspanti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2555 Court Dr, Suite 450, Gastonia, NC 28054 Phone: 704-671-7652 Fax: 704-671-7656 |