Dr John Milton Soderberg, MD | |
7560 Carpenter Fire Station Rd Ste 204, Cary, NC 27519-9637 | |
(919) 439-4206 | |
(919) 439-9375 |
Full Name | Dr John Milton Soderberg |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 20 Years |
Location | 7560 Carpenter Fire Station Rd Ste 204, Cary, 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 |
---|---|---|---|
1386810588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 2008-01108 (North Carolina) | Secondary |
207N00000X | Dermatology | 0101261724 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Dermatology | 3779471701 | 483 |
Forefront Dermatology | 3779471701 | 483 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326532169 PECOS PAC ID: 3779471701 Enrollment ID: O20180821002003 |
Mailing Address | Practice Location Address |
---|---|
Dr John Milton Soderberg, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr John Milton Soderberg, MD 7560 Carpenter Fire Station Rd Ste 204, Cary, NC 27519-9637 Ph: (919) 439-4206 |
Timothy Corcoran Flynn, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 200 Wellesley Trade Ln, Cary, NC 27519 Phone: 919-363-7546 Fax: 919-363-3616 | |
Linda Augusta Heffernan, M.D./P.H.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7560 Carpenter Fire Station Rd Ste 204, Cary, NC 27519 Phone: 919-439-4206 Fax: 919-439-9375 | |
Amy Lenfestey Gagnon, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 Preston Executive Dr Ste 108, Cary, NC 27513 Phone: 919-653-1344 | |
Jacob Subash, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 101 Sw Cary Pkwy Ste 210, Cary, NC 27511 Phone: 919-467-8556 Fax: 919-380-1480 | |
Adam Ingraffea, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Wellesley Trade Ln, Cary, NC 27519 Phone: 919-363-7546 Fax: 919-363-3616 | |
Mrs. Catherine Madeline Hren, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 101 Sw Cary Pkwy, Suite 210, Cary, NC 27511 Phone: 919-467-8556 Fax: 919-380-1480 |