Dr Benjamin James Moeller, MD, PHD | |
1021 Morehead Medical Dr, Charlotte, NC 28204-2839 | |
(704) 355-2272 | |
(704) 355-1865 |
Full Name | Dr Benjamin James Moeller |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 18 Years |
Location | 1021 Morehead Medical Dr, 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 |
---|---|---|---|
1518265420 | NPI | - | NPPES |
NC1343 | Medicaid | SC | |
5917263 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 2011-00515 (North Carolina) | Primary |
2085R0001X | Radiology - Radiation Oncology | 33384 (South Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
Carolinas Medical Center-northeast | Concord, NC | Hospital |
Carolinas Medical Center-pineville | Charlotte, NC | Hospital |
Atrium Health University City | Charlotte, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Radiation Oncology Group, P.a. | 1254233950 | 46 |
Radiation Oncology Centers Of The Carolinas, Inc. | 7810956380 | 21 |
Entity Name | Southeast Radiation Oncology Group, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568400109 PECOS PAC ID: 1254233950 Enrollment ID: O20040123000049 |
Entity Name | Radiation Oncology Centers Of The Carolinas, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023055365 PECOS PAC ID: 7810956380 Enrollment ID: O20041008001119 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin James Moeller, MD, PHD 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 Ph: (704) 333-7376 | Dr Benjamin James Moeller, MD, PHD 1021 Morehead Medical Dr, Charlotte, NC 28204-2839 Ph: (704) 355-2272 |
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 |