Dr Jerell Diego Chua, MPH, DO | |
3512 Wilkinson Blvd Ste 130, Charlotte, NC 28208-5698 | |
(980) 575-1254 | |
Not Available |
Full Name | Dr Jerell Diego Chua |
---|---|
Gender | Male |
Speciality | Osteopathic Manipulative Medicine |
Experience | 15 Years |
Location | 3512 Wilkinson Blvd Ste 130, 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 |
---|---|---|---|
1962637827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2023-03221 (North Carolina) | Primary |
207Q00000X | Family Medicine | 1620 (South Carolina) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centerwell Senior Primary Care Nc Jv Pc | 0345614384 | 15 |
Community Medicine Foundation | 4880687490 | 12 |
Entity Name | Centerwell Senior Primary Care Nc Jv Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366181943 PECOS PAC ID: 0345614384 Enrollment ID: O20230315000375 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerell Diego Chua, MPH, DO 4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013 Ph: (407) 533-6837 | Dr Jerell Diego Chua, MPH, DO 3512 Wilkinson Blvd Ste 130, Charlotte, NC 28208-5698 Ph: (980) 575-1254 |
Leslie Kay Ruffing Adcock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000 | |
Lillian M. Teigland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210 Phone: 704-384-0588 Fax: 704-384-0580 | |
Felice A James, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991 | |
Heather M. Burney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208 Phone: 704-446-9987 | |
Dr. Jerome Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6111 Rumple Rd, Charlotte, NC 28262 Phone: 704-596-5067 Fax: 704-599-9458 | |
Vishalakshi Kalyana Sundaram, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000 | |
Thamrah Rhoxana Wright, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1918 Randolph Rd Ste 275, Charlotte, NC 28207 Phone: 704-384-1354 |