Dr Elton Travis Smith Jr, MD | |
2001 Vail Ave, Charlotte, NC 28207-1248 | |
(704) 973-5500 | |
Not Available |
Full Name | Dr Elton Travis Smith Jr |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 33 Years |
Location | 2001 Vail Ave, 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 |
---|---|---|---|
1487653416 | NPI | - | NPPES |
5904987 | Medicaid | NC | |
18494 | Other | SC | STATE MEDICAL BOARD |
9401109 | Other | NC | STATE MEDICAL BOARD |
184945 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZH0000X | Pathology - Hematology | 9401109 (North Carolina) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 9401109 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
Carolinas Medical Center-pineville | Charlotte, NC | Hospital |
Atrium Health Union | Monroe, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carolinas Pathology Group Pa | 3375529985 | 39 |
Carolinas Pathology Group Pa | 3375529985 | 39 |
Entity Name | Carolinas Pathology Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689628158 PECOS PAC ID: 3375529985 Enrollment ID: O20040625000060 |
Mailing Address | Practice Location Address |
---|---|
Dr Elton Travis Smith Jr, MD Po Box 30637, Charlotte, NC 28230-0637 Ph: () - | Dr Elton Travis Smith Jr, MD 2001 Vail Ave, Charlotte, NC 28207-1248 Ph: (704) 973-5500 |
Dr. Patrick Aloysius Wilson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Presbyterian Hospital Department Of Pathology, Charlotte, NC 28204 Phone: 704-384-4814 Fax: 704-384-5770 | |
Dr. Linda J. Matthews, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 10628 Park Rd, Charlotte, NC 28210 Phone: 704-973-5500 | |
Levon Katsakhyan, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-973-5515 | |
Adil Gasim, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-973-5500 | |
Dr. James Dwayne Dollar, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd Fl 4, Charlotte, NC 28203 Phone: 704-973-5500 | |
Dr. Kevin Scott Smith, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 10628 Park Rd, Charlotte, NC 28210 Phone: 704-973-5500 | |
Michal Kamionek, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, 4th Floor- Department Of Patholoty, Charlotte, NC 28203 Phone: 704-355-2251 |