Deborah G Agisim, MD | |
700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | |
(704) 334-7800 | |
(704) 414-7512 |
Full Name | Deborah G Agisim |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 27 Years |
Location | 700 E Morehead St, 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 |
---|---|---|---|
1154325553 | NPI | - | NPPES |
P00022677 | Other | NC | RR MEDICARE (NC) |
89134EE | Medicaid | NC | |
N30546 | Medicaid | SC | |
1154325553 | Other | SC | RR MEDICARE (SC) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 23826 (South Carolina) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 200300546 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
Atrium Health Union | Monroe, NC | Hospital |
Carolinas Medical Center-pineville | Charlotte, NC | Hospital |
Atrium Health Anson | Wadesboro, NC | Hospital |
Carolinas Medical Center-northeast | Concord, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charlotte Radiology Pa | 4587577390 | 148 |
Charlotte Radiology Pa | 4587577390 | 148 |
Entity Name | Charlotte Radiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649220443 PECOS PAC ID: 4587577390 Enrollment ID: O20031107000484 |
Mailing Address | Practice Location Address |
---|---|
Deborah G Agisim, MD 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 Ph: (704) 334-7800 | Deborah G Agisim, MD 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 Ph: (704) 334-7800 |
Whitney Feltus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 980-208-1704 Fax: 704-926-1832 | |
Edward Barnwell Black, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1705 East Blvd, Charlotte, NC 28203 Phone: 704-909-5960 Fax: 704-770-0501 | |
Thaddeus Drexel Houston, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 East Blvd, Charlotte, NC 28203 Phone: 704-334-7800 Fax: 704-414-7512 | |
Matthew James Locker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 Fax: 704-926-1832 | |
Kelli A. Reardon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Queens Rd, Charlotte, NC 28204 Phone: 434-982-0777 Fax: 434-982-0792 | |
Robert Duprey, Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 E Morehead St Ste 300, Charlotte, NC 28202 Phone: 704-334-7800 | |
Mr. Andrew Joseph Bojanowski, PA-C Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 |