Dr Gregory C Mitro, MD | |
229 Mocksville Ave, Salisbury, NC 28144-3325 | |
(704) 797-8820 | |
(704) 210-6877 |
Full Name | Dr Gregory C Mitro |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 29 Years |
Location | 229 Mocksville Ave, Salisbury, 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 |
---|---|---|---|
1215996236 | NPI | - | NPPES |
44131 | Other | PARTNERS | |
A7859 | Other | MEDCOST | |
2145532 | Other | UNITED HEALTHCARE | |
891254X | Medicaid | NC | |
N00554 | Medicaid | SC | |
1254X | Other | NC | BLUE CROSS |
9354064004 | Other | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 200000550 (North Carolina) | Primary |
2085R0001X | Radiology - Radiation Oncology | 22609 (South Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Rowan Medical Center | Salisbury, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Radiation Oncology Group, P.a. | 1254233950 | 46 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory C Mitro, MD 200 Queens Rd, Suite 400, Charlotte, NC 28204-3252 Ph: (704) 333-7376 | Dr Gregory C Mitro, MD 229 Mocksville Ave, Salisbury, NC 28144-3325 Ph: (704) 797-8820 |
Dr. Jeffry Marshall Neil, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1515 W Innes St, Salisbury, NC 28144 Phone: 704-633-1022 | |
Deborah Maria Lucas, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Wg 'bill' Hefner Vamc, 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Dr. Xue Bai Cunningham, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Dr. Robert Moffatt Kennedy Iv, MD Radiology Medicare: Medicare Enrolled Practice Location: 1601 Brenner Ave, Radiology Dept, Salisbury, NC 28144 Phone: 704-638-9000 | |
Djenaba Tene Bradford-kennedy, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Dr. Wayne Brown Wooten, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 6 Pine Tree Rd, Salisbury, NC 28144 Phone: 704-633-1528 Fax: 704-633-7097 |