Dr Jeffrey Chang, MD | |
1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 | |
(336) 274-9617 | |
(336) 482-2177 |
Full Name | Dr Jeffrey Chang |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1331 N Elm St, Greensboro, 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 |
---|---|---|---|
1194959056 | NPI | - | NPPES |
158HK | Other | NC | BCBS |
5950051 | Medicaid | NC | |
9802504 | Other | NC | AETNA |
1194959056 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2010-00716 (North Carolina) | Primary |
Entity Name | Diagnostic Radiology & Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265469795 PECOS PAC ID: 4183517097 Enrollment ID: O20200129002157 |
Entity Name | Greensboro Radiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20200227002497 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Chang, MD 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 Ph: (336) 274-9617 | Dr Jeffrey Chang, MD 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 Ph: (336) 274-9617 |
Melinda Ann Blietz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Raymond Charles Rubner Jr., M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 1331 N Elm St, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Dr. David Sung Kwon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
James Judd Green Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Dr. Paul Douglas Barry, MD Radiology Medicare: Medicare Enrolled Practice Location: 1331 North Elm Street, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Stacy Wentworth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 N. Elam Avenue, Greensboro, NC 27403 Phone: 336-832-1100 | |
Dr. Otis Norwood Fisher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1317 N Elm St, Suite 1b, Greensboro, NC 27401 Phone: 336-274-4285 Fax: 336-268-9062 |