Benjamin Manuel Enciso, DO | |
2630 E 7th St, Charlotte, NC 28204-4318 | |
(704) 355-9484 | |
Not Available |
Full Name | Benjamin Manuel Enciso |
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Gender | Male |
Speciality | Surgery |
Location | 2630 E 7th St, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1932692597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | 2023-01649 (North Carolina) | Primary |
Entity Name | Carolinas Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
Entity Name | Carolinas Physicians Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
Mailing Address | Practice Location Address |
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Benjamin Manuel Enciso, DO Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Benjamin Manuel Enciso, DO 2630 E 7th St, Charlotte, NC 28204-4318 Ph: (704) 355-9484 |
Dr. John Gordon Morrison, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2015 Randolph Rd, Suite 201, Charlotte, NC 28207 Phone: 704-333-1259 Fax: 704-333-0371 | |
Michael Passeri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204 Phone: 704-355-8816 | |
Jeko Metodiev Madjarov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212 | |
Benjamin Yglesias, Surgery Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Jason Shade Burgess, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Avenue, Ste 320, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356 | |
Toan Thiet Huynh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1255 | |
Sara L Turner, NP Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-512-7562 Fax: 704-512-7576 |