Marisa Deaton, | |
332 N Trade St, Suite 2000, Matthews, NC 28105-1728 | |
(704) 302-8500 | |
Not Available |
Full Name | Marisa Deaton |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 332 N Trade St, Matthews, 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 |
---|---|---|---|
1700801792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 51776 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 2005-00652 (North Carolina) | Primary |
Entity Name | Carolinas Physicians Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455 |
Entity Name | Carolinas Physicians Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
Entity Name | Charlotte Medical Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053636472 PECOS PAC ID: 8729980776 Enrollment ID: O20040121001041 |
Entity Name | Mecklenburg Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364535 PECOS PAC ID: 9931196797 Enrollment ID: O20040426001334 |
Mailing Address | Practice Location Address |
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Marisa Deaton, 332 N Trade St, Matthews, NC 28105-1728 Ph: () - | Marisa Deaton, 332 N Trade St, Suite 2000, Matthews, NC 28105-1728 Ph: (704) 302-8500 |
Vidyasagargoud Marupakula, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Healing Way, Matthews, NC 28104 Phone: 980-993-2240 | |
Zelalem Atakilt Gebreananya, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Matthews Township Pkwy, Matthews, NC 28105 Phone: 704-384-9740 Fax: 704-384-9565 | |
Nusrat Ahmad Chaudhary, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Matthews Township Pkwy, Matthews, NC 28105 Phone: 704-841-8151 | |
Dr. Henry D Cremisi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 Matthews Township Pkwy, Matthews, NC 28105 Phone: 704-384-5416 Fax: 704-384-5992 | |
Dr. Kevin M. Rudisel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Matthews Township Pkwy, Matthews, NC 28105 Phone: 704-384-5420 Fax: 704-384-5424 | |
Dr. Abdul Karim Garuba, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9705 Northeast Pkwy Ste 400, Matthews, NC 28105 Phone: 704-844-8971 Fax: 704-844-8972 | |
Dr. Keithe Saclayan Shensky, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Matthews Township Pkwy, Matthews, NC 28105 Phone: 704-841-8151 Fax: 704-841-9228 |