Joel Lutterman, | |
920 Church St N, Concord, NC 28025-2927 | |
(704) 403-3664 | |
Not Available |
Full Name | Joel Lutterman |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 920 Church St N, Concord, 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 |
---|---|---|---|
1144286691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2010-02061 (North Carolina) | Primary |
Entity Name | County Of Wake |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295761617 PECOS PAC ID: 6305759952 Enrollment ID: O20031110000389 |
Entity Name | Advance Community Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245223783 PECOS PAC ID: 3577471697 Enrollment ID: O20040824000695 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100512000495 |
Entity Name | North Carolina Group Services, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629415914 PECOS PAC ID: 4789827254 Enrollment ID: O20130830000807 |
Entity Name | Advance Community Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952760290 PECOS PAC ID: 3577471697 Enrollment ID: O20210119000168 |
Mailing Address | Practice Location Address |
---|---|
Joel Lutterman, 920 Church Street North, Concord, NC 28025 Ph: () - | Joel Lutterman, 920 Church St N, Concord, NC 28025-2927 Ph: (704) 403-3664 |
Laura Jean Mock, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1040 Vinehaven Drive, Concord, NC 28025 Phone: 704-784-1010 Fax: 704-784-1013 | |
Amanda Lynn Cook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2860 | |
Andrew Zachary Heling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2660 | |
Robert A Nahouraii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 70 Lake Concord Rd Ne, Concord, NC 28025 Phone: 704-355-9794 | |
Kevin Michael Tompkins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664 | |
Rula Musa Freiji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660 |