Dr Jarvis Wilton Smith, MD | |
1234 Huffman Mill Rd, Burlington, NC 27215-8700 | |
(336) 538-1234 | |
(336) 538-2390 |
Full Name | Dr Jarvis Wilton Smith |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1234 Huffman Mill Rd, Burlington, 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 |
---|---|---|---|
1760402713 | NPI | - | NPPES |
8911807 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 29174 (North Carolina) | Primary |
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Mailing Address | Practice Location Address |
---|---|
Dr Jarvis Wilton Smith, MD Po Box 1717, Burlington, NC 27216-1717 Ph: (336) 538-1234 | Dr Jarvis Wilton Smith, MD 1234 Huffman Mill Rd, Burlington, NC 27215-8700 Ph: (336) 538-1234 |
Dr. Seeplaputher G Sankar, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1041 Kirkpatrick Rd, Ste 150, Burlington, NC 27215 Phone: 336-538-1888 Fax: 336-538-1313 | |
Jason S Dew, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2977 Crouse Ln, Burlington, NC 27215 Phone: 336-584-4200 | |
Diego Fernando Pabon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1041 Kirkpatrick Rd Ste 150, Burlington, NC 27215 Phone: 336-538-1888 | |
Dr. Isami Sakai, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1234 Huffman Mill Road, Burlington, NC 27215 Phone: 336-538-1234 Fax: 336-584-6811 | |
Jennifer Cannon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1041 Kirkpatrick Rd Ste 150, Burlington, NC 27215 Phone: 336-538-1888 | |
Dr. Jeffrey William Byrnett, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1234 Huffman Mill Road, Burlington, NC 27215 Phone: 336-538-2374 Fax: 336-584-6811 | |
Jose Luis Piscoya, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1041 Kirkpatrick Rd Ste 150, Burlington, NC 27215 Phone: 336-538-1888 |