Dr Jerry W Snow Jr, MD | |
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
(704) 355-2171 | |
(704) 355-5736 |
Full Name | Dr Jerry W Snow Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 22 Years |
Location | 1000 Blythe Blvd, 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 |
---|---|---|---|
1164465209 | NPI | - | NPPES |
200491760 | Medicaid | IN | |
1164465209 | Medicaid | NC | |
NC2439 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01057821A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 2015-00451 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
Abrazo Central Campus | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Group Of Arizona Professional Corporation | 1355596644 | 77 |
East Valley Ep Pllc | 4880081785 | 11 |
Banner - University Physician Specialists Llc | 5991008054 | 241 |
Entity Name | Emergency Professional Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518984210 PECOS PAC ID: 6901707272 Enrollment ID: O20040119000693 |
Entity Name | Emergency Group Of Arizona Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
Entity Name | Banner - University Hospital Based Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
Entity Name | Banner - University Physician Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
Entity Name | East Valley Ep Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659039618 PECOS PAC ID: 4880081785 Enrollment ID: O20220423000106 |
Entity Name | Phoenix Physician Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154898435 PECOS PAC ID: 9830556463 Enrollment ID: O20240226001151 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerry W Snow Jr, MD Po Box 601372, Charlotte, NC 28260-1372 Ph: (704) 355-2171 | Dr Jerry W Snow Jr, MD 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-2171 |
Chelsea Kolshak, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658 | |
Jacob Leedekerken, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 | |
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047 | |
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687 | |
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171 | |
Michael Stephen Merrill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 Phone: 704-377-2424 Fax: 704-377-2687 | |
Brian Zachary Hedges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047 |