Dr Ishwar Hakumal Gopichand, MD | |
118 Memorial Dr, Jacksonville, NC 28546-6328 | |
(910) 353-0581 | |
(910) 577-1150 |
Full Name | Dr Ishwar Hakumal Gopichand |
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Gender | Male |
Speciality | Pediatrics |
Location | 118 Memorial Dr, Jacksonville, 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 |
---|---|---|---|
1538113261 | NPI | - | NPPES |
8936271 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 9600796 (North Carolina) | Primary |
Entity Name | Jacksonville Children's And Multispecialty Clinic, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164519070 PECOS PAC ID: 6709968811 Enrollment ID: O20080129000277 |
Mailing Address | Practice Location Address |
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Dr Ishwar Hakumal Gopichand, MD Po Box 986513, Department 100, Boston, MA 02298-6513 Ph: (910) 219-8326 | Dr Ishwar Hakumal Gopichand, MD 118 Memorial Dr, Jacksonville, NC 28546-6328 Ph: (910) 353-0581 |
Michael David Hofmann, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3050 Henderson Dr, Jacksonville, NC 28546 Phone: 910-353-2660 Fax: 910-353-2770 | |
Dr. Anna Skaskiw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 118 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-577-1150 | |
Dr. Evgeniya Nikolaevna Chisenhall, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-577-1150 | |
Jugta Kahai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-577-1150 | |
Adriane Kacho Eng-osborne, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-353-1536 | |
Dr. Suzanne Stelmach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 612 College St, Jacksonville, NC 28540 Phone: 910-347-2154 Fax: 910-347-3165 | |
Dr. Jacquelyn Marie Burnett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr Ste B, Jacksonville, NC 28546 Phone: 910-634-3555 Fax: 910-442-8826 |