Dr Jerome Mack Butler Jr, MD | |
2525 Court Dr, Gastonia, NC 28054-2140 | |
(704) 834-2944 | |
Not Available |
Full Name | Dr Jerome Mack Butler Jr |
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Gender | Male |
Speciality | Radiation Oncology |
Experience | 21 Years |
Location | 2525 Court Dr, Gastonia, 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 |
---|---|---|---|
1346425055 | NPI | - | NPPES |
5908709 | Medicaid | NC | |
205202 | Other | NC | MEDCOST |
N01706 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 2006-01706 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caromont Regional Medical Center | Gastonia, NC | Hospital |
Carolinas Medical Center/behav Health | Charlotte, 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. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568400109 PECOS PAC ID: 1254233950 Enrollment ID: O20040123000049 |
Entity Name | Radiation Oncology Centers Of The Carolinas, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023055365 PECOS PAC ID: 7810956380 Enrollment ID: O20041008001119 |
Mailing Address | Practice Location Address |
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Dr Jerome Mack Butler Jr, MD 200 Queens Rd, Suite 400, Charlotte, NC 28204-3253 Ph: (704) 333-7376 | Dr Jerome Mack Butler Jr, MD 2525 Court Dr, Gastonia, NC 28054-2140 Ph: (704) 834-2944 |
Mark Thomas Edge, PHD MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Renee Raimondi Deweese, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Summit Crossing Place, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Christopher Johannus Vandermeer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Dr. Richard S Herring, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054 Phone: 404-712-4686 | |
Heather Ann Pickford, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Christopher William Saltmarsh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Chad Michael Clark, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 |